MITCHELL TAYLOR WALLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103448

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

TAYLOR

Last Name

WALLIN

Suffix

Business Name

MITCHELL TAYLOR WALLIN MD

Original Issue Date

09/11/2000

Effective Date

09/11/2000

Expiration Date

07/31/2002

City

WASHINGTON

State

Zip

20003

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

10/09/2006