License holder summary

WALL, RICHARD WAYNE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for WALL, RICHARD WAYNE, MD is 10139 S. LEISURE LANE, Jacksonville 32256. This doctor license is not current. The license was granted 07/13/1973 and expired on 12/31/1987.

Georgia

Composite Medical Board

WALL, RICHARD WAYNE, MD
Medical - Physician
License number
015434
Date granted
07/13/1973
Date expires
12/31/1987
Class
Medical - Physician
Status
Inactive
Address
10139 S. LEISURE LANE
georgiadoctors.net
ID 38090333
LAST UPDATED 2024-03-27 00:12:21 UTC

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