TAMARA JEAN WALLS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111018

License Status

ACTIVE

Business

First Name

TAMARA

Middle

JEAN

Last Name

WALLS

Suffix

Business Name

TAMARA JEAN WALLS MD

Original Issue Date

03/16/2004

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

PENDLETON

State

Zip

29670

Ever Disciplined

LastModifiedDate

06/15/2023