DANIEL PHILIP WALSH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

ACTIVE

Business

First Name

DANIEL

Middle

PHILIP

Last Name

WALSH

Suffix

Business Name

DANIEL PHILIP WALSH OD

Original Issue Date

05/08/2018

Effective Date

03/22/2024

Expiration Date

03/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026