WALTER ROACH SUNDSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035472

License Status

NOT RENEWED

Business

First Name

WALTER ROACH

Last Name

SUNDSTROM

Suffix

Business Name

WALTER ROACH SUNDSTROM MD

Original Issue Date

09/05/1958

Effective Date

09/05/1958

City

MADISON

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006