License holder summary

FREDERICK TROWBRIDGE WALLER is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for FREDERICK TROWBRIDGE WALLER is PORTLAND OR 97225. This medical practitioner license is not current. The license was granted 06/24/1977 and expired on 12/31/1978.

Department of State

Board of Medicine

FREDERICK TROWBRIDGE WALLER
Medical Physician And Surgeon
License number
MD019348E
Date granted
06/24/1977
Date expires
12/31/1978
Class
Medical Physician And Surgeon
Status
Expired
Address
PORTLAND OR 97225
medicinepa.com
ID 37687192
LAST UPDATED 2024-04-21 21:10:19 UTC

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