CRAIG A WALLS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

Last Name

WALLS

Business Name

CRAIG A WALLS

Original Issue Date

12/03/2008

Effective Date

12/03/2008

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011