JOSEPH DAVID WALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051327

License Status

ACTIVE

Business

Title

First Name

JOSEPH

Middle

DAVID

Last Name

WALL

Business Name

JOSEPH DAVID WALL MD

Original Issue Date

07/10/1975

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

04/27/2023