R MATTHEW WALSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

R MATTHEW

Last Name

WALSH

Suffix

Business Name

R MATTHEW WALSH MD

Original Issue Date

10/06/1987

Effective Date

10/06/1987

Expiration Date

07/31/1990

City

MAYWOOD

State

Zip

60302

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006