FREDERICK P WALTERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

FREDERICK P

Last Name

WALTERS

Suffix

Business Name

FREDERICK P WALTERS MD

Original Issue Date

04/28/1997

Effective Date

04/28/1997

Expiration Date

07/31/1999

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006