JON H WALZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082061

License Status

NOT RENEWED

Business

First Name

JON H

Last Name

WALZ

Suffix

Business Name

JON H WALZ DO

Original Issue Date

02/08/1991

Effective Date

02/08/1991

Expiration Date

07/31/1996

City

APO AE

State

Zip

09466

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006