ENDIA NICHELLE WALLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148013

License Status

NOT RENEWED

Business

Title

First Name

ENDIA

Middle

NICHELLE

Last Name

WALLS

Business Name

ENDIA NICHELLE WALLS MD

Original Issue Date

12/31/2018

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

HOUSTON

State

Zip

77230

Ever Disciplined

LastModifiedDate

11/30/2023