MICHAEL WALSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

WALSH

Suffix

Business Name

MICHAEL WALSH MD

Original Issue Date

01/28/1991

Effective Date

01/28/1991

Expiration Date

07/31/1996

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006