MATTHEW R WALSH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

WALSH

Business Name

MATTHEW R WALSH

Original Issue Date

03/12/2021

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CALUMET CITY

State

Zip

60409

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023