DAVID C WALTERS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

WALTERS

Business Name

DAVID C WALTERS

Original Issue Date

06/09/1995

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023