Georgia
Composite Medical Board
WALLACE, RAY L
Medical - Physician Assistant
License number
000935
Date granted
04/07/1983
Date expires
03/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
210 E DERENNE AVENUE
georgiadoctors.net
ID 38102307
LAST UPDATED 2026-08-05 04:11:05 UTC
LAST UPDATED 2026-08-05 04:11:05 UTC
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