FLORIAN T WALTER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

CANCELLED

Business

First Name

FLORIAN T

Last Name

WALTER

Business Name

FLORIAN T WALTER

Original Issue Date

06/27/1995

Effective Date

06/27/1995

Expiration Date

07/31/2005

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006