WALLER, LISA MARIE
Medical - Physician Assistant
Georgia 004516 Lapsed
This Georgia license was held by WALLER, LISA MARIE. The license is no longer active. It was granted on 05/06/2005 and expired on 10/31/2012
LICENSE DETAILS
- License Number: 004516
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 05/06/2005 (about 20 years ago)
- Expiry Date: 10/31/2012 (over 12 years ago)
LOCATIONS
A Address
4254 RIVER GREEN DRIVE | APT. 608, Atlanta 30327