JEFFREY W WALL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084435

License Status

NOT RENEWED

Business

First Name

JEFFREY W

Last Name

WALL

Business Name

JEFFREY W WALL

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

07/31/1999

City

BEAUFORT

State

Zip

29902

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006