WILLARD WILLIAM WALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036024133

License Status

NOT RENEWED

Business

First Name

WILLARD WILLIAM

Last Name

WALL

Suffix

Business Name

WILLARD WILLIAM WALL MD

Original Issue Date

11/09/1940

Effective Date

11/09/1940

City

MINOT

State

Zip

58701

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

09/20/2006