DONALD M WALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094348

License Status

NOT RENEWED

Business

First Name

DONALD M

Last Name

WALD

Suffix

Business Name

DONALD M WALD MD

Original Issue Date

10/09/1996

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

11/14/2011