License holder summary

WALLACE, DANIELLE SUZANNE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for WALLACE, DANIELLE SUZANNE is 2024 TUXEDO AVENUE, Atlanta 30307. This doctor license is not current. The license was granted 10/05/1995 and expired on 12/31/1996.

Georgia

Composite Medical Board

WALLACE, DANIELLE SUZANNE
Medical - Physician Assistant
License number
002680
Date granted
10/05/1995
Date expires
12/31/1996
Class
Medical - Physician Assistant
Status
Lapsed
Address
2024 TUXEDO AVENUE
georgiadoctors.net
ID 38102304
LAST UPDATED 2026-03-12 03:12:08 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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