MARK A WALSHAUSER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

WALSHAUSER

Business Name

MARK A WALSHAUSER MD

Original Issue Date

07/05/2011

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023