Jack Edward Wall
Medical - Physician
Colorado 37196 Expired
This Colorado license was held by Jack Edward Wall. The license is no longer active. It was granted on 07/09/1998 and expired on 05/31/2007
LICENSE DETAILS
- License Number: 37196
- Category: Physician
- Status: Expired
- Date Granted: 07/09/1998 (almost 26 years ago)
- Expiry Date: 05/31/2007 (almost 17 years ago)
LOCATIONS
A Address
5212 OTSEGO ST, DULUTH, MN, 55804-1654