License holder summary

WALLACE, ELLIS J is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for WALLACE, ELLIS J is 4707 AUGUSTA RD, GARDEN CITY 31408. This doctor license is current. The license was granted 06/02/1994 and expired on 11/30/2016.

Georgia

Composite Medical Board

WALLACE, ELLIS J
Medical - Physician Assistant
License number
002533
Date granted
06/02/1994
Date expires
11/30/2016
Class
Medical - Physician Assistant
Status
Active
Address
4707 AUGUSTA RD
georgiadoctors.net
ID 38102305
LAST UPDATED 2026-06-03 20:23:07 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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