EMILY C WALVOORD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

EMILY C

Last Name

WALVOORD

Business Name

EMILY C WALVOORD

Original Issue Date

06/27/1997

Effective Date

06/27/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

09/26/2006