License holder summary

Alfonso H Waller is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Alfonso H Waller is Rutgers New Jersey Medical School, 185 South Orange Avenue, MSB I-538, Newark 07103. This licensed professional license is not current. The license was granted 01/18/2012 and expired on 12/04/2016.

Massachusetts

Division of Professional Licensure

Alfonso H Waller
Board Of Registration In Medicine
License number
250084
Date granted
01/18/2012
Date expires
12/04/2016
Class
Board Of Registration In Medicine
Status
Inactive
Address
Rutgers New Jersey Medical School, 185 South Orange Avenue, MSB I-538
licensingma.org
ID 41493401
LAST UPDATED 2026-03-15 01:59:45 UTC

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