JAY R WALTHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JAY R

Last Name

WALTHER

Suffix

Business Name

JAY R WALTHER MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006