DR J B WALLER M D LTD Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001278

License Status

CANCELLED

Business

Business Name

DR J B WALLER M D LTD

Original Issue Date

12/09/1971

Effective Date

12/09/1971

Expiration Date

01/01/1986

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/26/2006