License holder summary

Timothy Robert Wall is a Medical - Physician licensed to practice in Colorado. The address on file for Timothy Robert Wall is 636 Raymond Dr, Ste 205, Naperville, IL, 60563-0563. This licensed professional license is not current. The license was granted 06/19/1997 and expired on 04/30/2013.

Colorado

Division of Professions and Occupations

Timothy Robert Wall
Medical - Physician
License number
36159
Date granted
06/19/1997
Date expires
04/30/2013
Class
Medical - Physician
Status
Expired
Address
636 Raymond Dr, Ste 205, Naperville, IL, 60563-0563
coloradolicensing.org
ID 27452960
LAST UPDATED 2024-02-13 01:07:36 UTC

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