JEFFREY W WALL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023702

License Status

EXPIRED

Business

First Name

JEFFREY W

Last Name

WALL

Business Name

JEFFREY W WALL

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1992

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006