STEPHEN MICHAEL WALSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

MICHAEL

Last Name

WALSH

Suffix

Business Name

STEPHEN MICHAEL WALSH MD

Original Issue Date

03/14/2006

Effective Date

03/14/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008