EMILY C WALVOORD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093770

License Status

NOT RENEWED

Business

First Name

EMILY C

Last Name

WALVOORD

Business Name

EMILY C WALVOORD

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/1999

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006