License holder summary

Jack Edward Wall is a Medical - Physician licensed to practice in Colorado. The address on file for Jack Edward Wall is 5212 OTSEGO ST, DULUTH, MN, 55804-1654. This licensed professional license is not current. The license was granted 07/09/1998 and expired on 05/31/2007.

Colorado

Division of Professions and Occupations

Jack Edward Wall
Medical - Physician
License number
37196
Date granted
07/09/1998
Date expires
05/31/2007
Class
Medical - Physician
Status
Expired
Address
5212 OTSEGO ST, DULUTH, MN, 55804-1654
coloradolicensing.org
ID 27452958
LAST UPDATED 2024-02-22 20:43:11 UTC

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