LAURA DOOLITTLE WALSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

DOOLITTLE

Last Name

WALSH

Business Name

LAURA DOOLITTLE WALSH

Original Issue Date

02/07/2017

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/24/2020