JESSICA J WALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134897

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

Last Name

WALTER

Business Name

JESSICA J WALTER MD

Original Issue Date

04/01/2014

Effective Date

04/01/2014

Expiration Date

07/31/2017

City

NEW YORK

State

Zip

10029

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017