SUSAN MARIE WALSH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

WALSH

Suffix

DPM

Business Name

SUSAN MARIE WALSH DPM

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

01/31/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006