JONATHAN EDWARD WALTERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

EDWARD

Last Name

WALTERS

Business Name

JONATHAN EDWARD WALTERS MD

Original Issue Date

10/20/2017

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

METROPOLIS

State

Zip

62960

County

MASSAC

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023