FREDERICK P WALTERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095099

License Status

NOT RENEWED

Business

First Name

FREDERICK P

Last Name

WALTERS

Suffix

Business Name

FREDERICK P WALTERS MD

Original Issue Date

03/19/1997

Effective Date

03/19/1997

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006