License holder summary

WALLACE, LARISA CHERYL is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for WALLACE, LARISA CHERYL is 525 HAWTHORNE AVE, Athens 30606. This doctor license is not current. The license was granted 02/04/2000 and expired on 08/31/2009.

Georgia

Composite Medical Board

WALLACE, LARISA CHERYL
Medical - Respiratory Care Professional
License number
004701
Date granted
02/04/2000
Date expires
08/31/2009
Class
Medical - Respiratory Care Professional
Status
Lapsed
Address
525 HAWTHORNE AVE
georgiadoctors.net
ID 38112125
LAST UPDATED 2026-04-04 20:40:52 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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