BRETT JEREMY WALKER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

CANCELLED

Business

First Name

BRETT

Middle

JEREMY

Last Name

WALKER

Suffix

Business Name

BRETT JEREMY WALKER MD

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

07/31/2005

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006