DIRK O WALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081466

License Status

NOT RENEWED

Business

First Name

DIRK O

Last Name

WALES

Suffix

Business Name

DIRK O WALES MD

Original Issue Date

09/07/1990

Effective Date

07/27/2020

Expiration Date

07/31/2023

City

DICKSON

State

Zip

37055

County

TENNESSEE

Ever Disciplined

LastModifiedDate

11/30/2023