LARRY H WAHL DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****29

NOT RENEWED

N

LARRY H

WAHL

DO

LARRY H WAHL DO

05/02/1991

05/02/1991

07/31/1993

GRAND HAVEN

MI

49417

MICHIGAN

II III IV V

N

09/26/2006