JACK EDWARD WALL
Medical Physician And Surgeon
Pennsylvania MD070143L Expired
This Pennsylvania license was held by JACK EDWARD WALL. The license is no longer active. It was granted on 01/26/2000 and expired on 12/31/2002
LICENSE DETAILS
- License Number: MD070143L
- Category: Medical Physician and Surgeon
- Status: Expired
- Date Granted: 01/26/2000 (over 24 years ago)
- Expiry Date: 12/31/2002 (over 21 years ago)
LOCATIONS
A Address
Duluth MN 55804-1654