DAVID O WALTERHOUSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

DAVID O

Last Name

WALTERHOUSE

Suffix

Business Name

DAVID O WALTERHOUSE MD

Original Issue Date

08/24/1989

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023