ENDIA NICHELLE WALLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

ENDIA

Middle

NICHELLE

Last Name

WALLS

Business Name

ENDIA NICHELLE WALLS MD

Original Issue Date

05/17/2019

Effective Date

05/17/2019

Expiration Date

09/30/2020

City

HOUSTON

State

Zip

77230

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021