Jason M Wallen
ExpiredCalifornia license A81230
License
- Licensed by
- Medical Board of California
- License number
- A81230
- Status
- Expired (Delinquent)
- First issued
- November 22, 2002
- Expired
- July 31, 2024
- License holder
- Jason M Wallen
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
SUNY Upstate Medical Univ
750 E Adams St Ste 8141
Syracuse, NY 13210
750 E Adams St Ste 8141
Syracuse, NY 13210
Onondaga County