GREGORY SCOTT WALLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

SCOTT

Last Name

WALLIN

Business Name

GREGORY SCOTT WALLIN MD

Original Issue Date

01/02/2014

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023