TERRANCE P WALSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000208

License Status

NOT RENEWED

Business

First Name

TERRANCE P

Last Name

WALSH

Business Name

TERRANCE P WALSH

Original Issue Date

08/20/1980

Effective Date

08/20/1980

Expiration Date

08/20/1982

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006