License holder summary

WALLACE, DERRECK L is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for WALLACE, DERRECK L is 1286 MANNBROOK DR., Stone Mountain 30083. This doctor license is current. The license was granted 10/08/1998 and expired on 02/28/2018.

Georgia

Composite Medical Board

WALLACE, DERRECK L
Medical - Respiratory Care Professional
License number
004381
Date granted
10/08/1998
Date expires
02/28/2018
Class
Medical - Respiratory Care Professional
Status
Active
Address
1286 MANNBROOK DR.
georgiadoctors.net
ID 38112122
LAST UPDATED 2026-05-19 14:32:46 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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