JACLYN ANNE WALSH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

JACLYN

Middle

ANNE

Last Name

WALSH

Business Name

JACLYN ANNE WALSH MD

Original Issue Date

05/04/2016

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2023