WALTER R LILJESTHROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057343

License Status

NOT RENEWED

Business

First Name

WALTER R

Last Name

LILJESTHROM

Suffix

Business Name

WALTER R LILJESTHROM MD

Original Issue Date

08/10/1978

Effective Date

08/10/1978

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006