License holder summary

Neil Dimitri Wallen is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Neil Dimitri Wallen is E 14911 21st Ave, Veradale, WA 99037. This doctor license is not current. The license was granted 09/16/1989 and expired on 12/31/1991.

Department of Safety and Professional Services

Board of Medical Practice

Neil Dimitri Wallen
Medical - Physician And Surgeon
License number
33175
Date granted
09/16/1989
Date expires
12/31/1991
Class
Medical - Physician And Surgeon
Status
Canceled
Address
E 14911 21st Ave, Veradale, WA 99037
doctorsminnesota.org
ID 22326807
LAST UPDATED 2024-05-11 05:01:17 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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