WALLACE, RUSSELL WILLIS JR, MD
Medical - Physician
Georgia 009289 Active
This Georgia license is held by WALLACE, RUSSELL WILLIS JR, MD. The license is currently active. It was granted on 07/22/1960 and expired on 08/31/2016
LICENSE DETAILS
- License Number: 009289
- Category: Physician
- Status: Active
- Date Granted: 07/22/1960 (almost 64 years ago)
- Expiry Date: 08/31/2016 (over 7 years ago)
LOCATIONS
A Address
2418 SPRINGHOUSE CIRCLE, Stone Mountain 30037
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