License holder summary

Dr. JACK DOUGLAS WALLER is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. JACK DOUGLAS WALLER is LAWTON, OK 73501. This doctor license is not current. The license was granted 06/19/1969 and expired on 12/31/1976.

Ohio

State Medical Board of Ohio

Dr. JACK DOUGLAS WALLER
Medical Board - 35.Doctor Of Medicine
License number
35.031581
Date granted
06/19/1969
Date expires
12/31/1976
Class
Medical Board - 35.Doctor Of Medicine
Status
Inactive
Address
LAWTON, OK 73501
doctorsohio.org
ID 28445967
LAST UPDATED 2024-04-05 08:44:33 UTC

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