BRUCE J WALZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073648

License Status

INACTIVE

Business

First Name

BRUCE J

Last Name

WALZ

Suffix

Business Name

BRUCE J WALZ MD

Original Issue Date

08/26/1986

Effective Date

08/26/1986

Expiration Date

07/31/2005

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006