VIVEKANANDA M WALL MD - Medical Doctor License in Iowa | # 036069493

VIVEKANANDA M WALL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069493

License Status

INACTIVE

Business

N

First Name

VIVEKANANDA M

Last Name

WALL

Suffix

MD

Business Name

VIVEKANANDA M WALL MD

Original Issue Date

09/18/1984

Effective Date

09/18/1984

Expiration Date

07/31/1987

State

IA

Ever Disciplined

N

LastModifiedDate

05/21/2007