JONATHAN EDWARD WALTERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144530

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

PADUCAH

State

Zip

42001

Ever Disciplined

LastModifiedDate

04/11/2023