MARK WILLIAM WALTON DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044965

License Status

INACTIVE

Business

First Name

MARK WILLIAM

Last Name

WALTON

Suffix

Business Name

MARK WILLIAM WALTON DO

Original Issue Date

10/08/1971

Effective Date

10/08/1971

Expiration Date

07/31/1987

City

CORAM

State

Zip

11727

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006