DAVID W WALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013474

License Status

EXPIRED

Business

First Name

DAVID W

Last Name

WALL

Suffix

Business Name

DAVID W WALL MD

Original Issue Date

08/21/1981

Effective Date

08/21/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006