JOHN COLEMAN WALL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037806

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

COLEMAN

Last Name

WALL

Suffix

JR MD

Business Name

JOHN COLEMAN WALL JR MD

Original Issue Date

06/18/1962

Effective Date

06/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

2002004972

Action

Reprimand

Discipline Start Date

07/25/2003

Discipline Reason

Failed to thoroughly review a new patient's medical records and failed to timely refer the patient for a mammogram after complaints of lumps.