BERTRAM E WALLS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084100

License Status

INACTIVE

Business

First Name

BERTRAM E

Last Name

WALLS

Suffix

Business Name

BERTRAM E WALLS MD

Original Issue Date

03/14/1992

Effective Date

03/14/1992

Expiration Date

07/31/2002

City

DURHAM

State

Zip

27705

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006