WALTER NEEFRAM INGRAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

WALTER

Middle

NEEFRAM

Last Name

INGRAM

Business Name

WALTER NEEFRAM INGRAM MD

Original Issue Date

10/16/2019

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023