JARED JOHN WALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154684

License Status

NOT RENEWED

Business

Title

First Name

JARED

Middle

JOHN

Last Name

WALLEN

Business Name

JARED JOHN WALLEN MD

Original Issue Date

11/04/2020

Effective Date

11/04/2020

Expiration Date

07/31/2023

City

SAN ANTONIO

State

Zip

78232

Ever Disciplined

LastModifiedDate

11/30/2023