License holder summary

WALLACE, AMANDA DANIEL is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for WALLACE, AMANDA DANIEL is 541 HISTORIC HWY. 441- N, Demorest 30535. This doctor license is current. The license was granted 10/07/2011 and expired on 10/31/2016.

Georgia

Composite Medical Board

WALLACE, AMANDA DANIEL
Medical - Physician Assistant
License number
006247
Date granted
10/07/2011
Date expires
10/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
541 HISTORIC HWY. 441- N
georgiadoctors.net
ID 38102302
LAST UPDATED 2024-03-24 20:07:54 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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