THERESA A WALDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

WALDEN

Suffix

Business Name

THERESA A WALDEN MD

Original Issue Date

10/20/1982

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021