DAVID A WALLS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014046

License Status

EXPIRED

Business

First Name

DAVID A

Last Name

WALLS

Suffix

Business Name

DAVID A WALLS MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006