TIMOTHY BERNARD WALLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137485

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

BERNARD

Last Name

WALLS

Business Name

TIMOTHY BERNARD WALLS MD

Original Issue Date

03/05/2015

Effective Date

03/05/2015

Expiration Date

07/31/2017

City

MEMPHIS

State

Zip

38112

Ever Disciplined

LastModifiedDate

11/01/2017