ROBERT J WALSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

WALSH

Business Name

ROBERT J WALSH

Original Issue Date

09/13/2002

Effective Date

03/03/2022

Expiration Date

03/01/2024

City

BURBANK

State

Zip

60459

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025