DAVID A WALLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067128

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

WALLS

Suffix

Business Name

DAVID A WALLS MD

Original Issue Date

07/28/1983

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/14/2021