BRETT JEREMY WALKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

JEREMY

Last Name

WALKER

Suffix

Business Name

BRETT JEREMY WALKER MD

Original Issue Date

01/19/2005

Effective Date

01/19/2005

Expiration Date

07/31/2008

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008