MITCHELL D WALLER DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009141

License Status

INACTIVE

Business

First Name

MITCHELL

Middle

Last Name

WALLER

Suffix

Business Name

MITCHELL D WALLER DC

Original Issue Date

07/26/2000

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

04/08/2014