ROBERT GREGORY WALTERS Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005102

License Status

INACTIVE

Business

First Name

ROBERT

Middle

GREGORY

Last Name

WALTERS

Business Name

ROBERT GREGORY WALTERS

Original Issue Date

10/17/2002

Effective Date

01/12/2017

Expiration Date

01/31/2019

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2018