License holder summary

WALLACE, DOMINIQUE S is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for WALLACE, DOMINIQUE S is 437 CEDAR COURT, Riverdale 30271. This doctor license is not current. The license was granted 06/06/2014 and expired on 05/31/2015.

Georgia

Composite Medical Board

WALLACE, DOMINIQUE S
Medical - Respiratory Care Professional
License number
009606
Date granted
06/06/2014
Date expires
05/31/2015
Class
Medical - Respiratory Care Professional
Status
Lapsed
Address
437 CEDAR COURT
georgiadoctors.net
ID 38112123
LAST UPDATED 2026-06-04 23:59:31 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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