License holder summary

LUCAS, WALLACE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for LUCAS, WALLACE, MD is 506 N.E. DYKES STREET, Cochran 31014. This doctor license is not current. The license was granted 06/12/1969 and expired on 06/09/2005.

Georgia

Composite Medical Board

LUCAS, WALLACE, MD
Medical - Physician
License number
012401
Date granted
06/12/1969
Date expires
06/09/2005
Class
Medical - Physician
Status
Surrendered
Address
506 N.E. DYKES STREET
georgiadoctors.net
ID 38061084
LAST UPDATED 2024-04-22 15:15:54 UTC

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