License holder summary

Clarence Robert Wall is a Medical - Physician licensed to practice in Colorado. The address on file for Clarence Robert Wall is 6232 E Shangri La Rd, Scottsdale, AZ, 85254-5451. This licensed professional license is current. The license was granted 10/28/2013 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Clarence Robert Wall
Medical - Physician
License number
53147
Date granted
10/28/2013
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
6232 E Shangri La Rd, Scottsdale, AZ, 85254-5451
coloradolicensing.org
ID 27429070
LAST UPDATED 2024-03-09 14:28:01 UTC

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