AMY ELISE WALTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELISE

Last Name

WALTON

Suffix

Business Name

AMY ELISE WALTON MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008