ROBERT GREGORY WALTERS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

GREGORY

Last Name

WALTERS

Business Name

ROBERT GREGORY WALTERS

Original Issue Date

10/18/2002

Effective Date

06/16/2015

Expiration Date

01/31/2017

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017