License holder summary

DIAZ, WANDA IVELISSE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for DIAZ, WANDA IVELISSE, MD is 1902 EAST GORE BLVD., LAWTON 73501. This doctor license is not current. The license was granted 04/07/1994 and expired on 04/30/2013.

Georgia

Composite Medical Board

DIAZ, WANDA IVELISSE, MD
Medical - Physician
License number
038217
Date granted
04/07/1994
Date expires
04/30/2013
Class
Medical - Physician
Status
Lapsed
Address
1902 EAST GORE BLVD.
georgiadoctors.net
ID 38038759
LAST UPDATED 2024-02-10 14:56:28 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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