WALTER JOSEPH FAILLACE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122605

License Status

INACTIVE

Business

Title

First Name

WALTER

Middle

JOSEPH

Last Name

FAILLACE

Business Name

WALTER JOSEPH FAILLACE MD

Original Issue Date

02/11/2009

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

ROCKVILLE

State

Zip

20852

Ever Disciplined

LastModifiedDate

07/17/2017