WALTER CARROLL THOMPSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045966

License Status

INACTIVE

Business

First Name

WALTER CARROLL

Last Name

THOMPSON

Business Name

WALTER CARROLL THOMPSON

Original Issue Date

07/31/1972

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

WAUPACA

State

Zip

54981

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014