ANDREA DANIELLE WALKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

DANIELLE

Last Name

WALKER

Business Name

ANDREA DANIELLE WALKER MD

Original Issue Date

11/07/2022

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

GALLUP

State

Zip

87301

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023