ROBERT GREGORY WALTERS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

GREGORY

Last Name

WALTERS

Business Name

ROBERT GREGORY WALTERS

Original Issue Date

08/20/2015

Effective Date

01/23/2017

Expiration Date

01/31/2019

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019