CHRISTOPHER R WALLYN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****53

NOT RENEWED

N

CHRISTOPHER R

WALLYN

DO

CHRISTOPHER R WALLYN DO

09/16/1986

09/16/1986

07/31/1990

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006