WALLER, JASON MARSHALL, DO
Medical - Physician
Georgia 046510 Lapsed
This Georgia license was held by WALLER, JASON MARSHALL, DO. The license is no longer active. It was granted on 10/08/1998 and expired on 12/31/2001
LICENSE DETAILS
- License Number: 046510
- Category: Physician
- Status: Lapsed
- Date Granted: 10/08/1998 (over 25 years ago)
- Expiry Date: 12/31/2001 (over 22 years ago)
LOCATIONS
A Address
5508 SOUTH LEA LANE, Columbus 31909