License Directory

Simeon Heninger Wall Jr

Active

California license A63087

License

Licensed by
Medical Board of California
License number
A63087
Status
Active (Current)
First issued
July 18, 1997
Expires
April 30, 2027
License holder
Simeon Heninger Wall Jr
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

8600 Fern Avenue
Shreveport, LA 71105
Caddo County