PAUL EDWIN WALLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

PAUL EDWIN

Last Name

WALLIN

Suffix

Business Name

PAUL EDWIN WALLIN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011