JEFFREY GLEN WALLS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101662

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

GLEN

Last Name

WALLS

Suffix

Business Name

JEFFREY GLEN WALLS MD

Original Issue Date

11/30/1999

Effective Date

11/30/1999

Expiration Date

07/31/2002

City

SAN ANTONIO

State

Zip

78258

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006