LISA K WALKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

WALKER

Business Name

LISA K WALKER

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

07/31/2008

City

AMBOY

State

Zip

61310

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008