License holder summary

WALLACE, RUSSELL WILLIS JR, MD is a Medical - Physician licensed to practice in Georgia. The address on file for WALLACE, RUSSELL WILLIS JR, MD is 2418 SPRINGHOUSE CIRCLE, Stone Mountain 30037. This doctor license is current. The license was granted 07/22/1960 and expired on 08/31/2016.

Georgia

Composite Medical Board

WALLACE, RUSSELL WILLIS JR, MD
Medical - Physician
License number
009289
Date granted
07/22/1960
Date expires
08/31/2016
Class
Medical - Physician
Status
Active
Address
2418 SPRINGHOUSE CIRCLE
georgiadoctors.net
ID 38090377
LAST UPDATED 2024-04-01 23:12:41 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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