License holder summary

Maxwell Allen Waller is a Medical - Physician licensed to practice in Colorado. The address on file for Maxwell Allen Waller is 107 SPRING ST, NEW YORK, NY, 10012-0012. This licensed professional license is not current. The license was granted 07/09/1981 and expired on 05/31/1983.

Colorado

Division of Professions and Occupations

Maxwell Allen Waller
Medical - Physician
License number
24111
Date granted
07/09/1981
Date expires
05/31/1983
Class
Medical - Physician
Status
Expired
Address
107 SPRING ST, NEW YORK, NY, 10012-0012
coloradolicensing.org
ID 27452977
LAST UPDATED 2024-01-25 08:55:00 UTC

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