WALTER JOAQUIN VALLEJO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042388

License Status

NOT RENEWED

Business

First Name

WALTER JOAQUIN

Last Name

VALLEJO

Suffix

Business Name

WALTER JOAQUIN VALLEJO MD

Original Issue Date

01/30/1969

Effective Date

01/30/1969

City

LA CROSSE

State

Zip

54601

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006