Georgia
Composite Medical Board
WALLACE IV, EDWIN RUTHVEN, MD
Medical - Physician
License number
024370
Date granted
10/13/1982
Date expires
12/31/1995
Class
Medical - Physician
Status
Surrendered
Address
DEPT. OF PSYCHIATRY & HEATLH BEH
georgiadoctors.net
ID 38090389
LAST UPDATED 2024-03-13 09:10:31 UTC
LAST UPDATED 2024-03-13 09:10:31 UTC
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