BEULAH LEON WALLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036017958

License Status

NOT RENEWED

Business

First Name

BEULAH LEON

Last Name

WALLIN

Suffix

Business Name

BEULAH LEON WALLIN MD

Original Issue Date

06/06/1929

Effective Date

06/06/1929

City

EASTMAN

State

Zip

54626

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006