STEPHEN LOUIS WALSTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000914

License Status

EXPIRED

Business

Title

First Name

STEPHEN

Middle

LOUIS

Last Name

WALSTON

Business Name

STEPHEN LOUIS WALSTON MD

Original Issue Date

09/24/2012

Effective Date

09/24/2012

Expiration Date

10/23/2012

City

SEATTLE

State

Zip

98103

County

WASHINGTON STATE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/11/2013