MICHAEL M WALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

MICHAEL M

Last Name

WALL

Suffix

Business Name

MICHAEL M WALL MD

Original Issue Date

08/01/1985

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023