License holder summary

Douglas Craig Walta is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Douglas Craig Walta is 3415 SW Heather Lane, Portland, OR 97201. This doctor license is not current. The license was granted 07/02/1969 and expired on 12/31/1982.

Department of Safety and Professional Services

Board of Medical Practice

Douglas Craig Walta
Medical - Physician And Surgeon
License number
18662
Date granted
07/02/1969
Date expires
12/31/1982
Class
Medical - Physician And Surgeon
Status
Canceled
Address
3415 SW Heather Lane, Portland, OR 97201
doctorsminnesota.org
ID 22327164
LAST UPDATED 2024-05-18 10:24:05 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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