WALLACE IV, EDWIN RUTHVEN, MD
Medical - Physician
Georgia 024370 Surrendered
This Georgia license was held by WALLACE IV, EDWIN RUTHVEN, MD. The license is no longer active. It was granted on 10/13/1982 and expired on 12/31/1995
LICENSE DETAILS
- License Number: 024370
- Category: Physician
- Status: Surrendered
- Date Granted: 10/13/1982 (over 41 years ago)
- Expiry Date: 12/31/1995 (over 28 years ago)
LOCATIONS
A Address
DEPT. OF PSYCHIATRY & HEATLH BEH, Augusta 30912