Georgia
Composite Medical Board
WALLACE, KENNETH ARTHUR III, MD
Medical - Physician
License number
055903
Date granted
03/04/2005
Date expires
04/30/2013
Class
Medical - Physician
Status
Lapsed
Address
2040 FLEISCHMANN RD
georgiadoctors.net
ID 38090365
LAST UPDATED 2024-02-13 18:09:12 UTC
LAST UPDATED 2024-02-13 18:09:12 UTC
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