DAVID W WALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065467

License Status

NOT RENEWED

Business

First Name

DAVID W

Last Name

WALL

Suffix

Business Name

DAVID W WALL MD

Original Issue Date

10/06/1982

Effective Date

10/06/1982

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006