License holder summary

Waller, Samuel T is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is current. The license was granted 04/02/2015 and expired on 10/31/2017.

Wisconsin

Department of Safety and Professional Services

Waller, Samuel T
Medicine And Surgery
License number
63855-20
Date granted
04/02/2015
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36527081
LAST UPDATED 2026-06-13 17:30:46 UTC

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