License holder summary

WALLACE, TIMOTHY MICHAEL, MD is a Medical - Physician licensed to practice in Georgia. The address on file for WALLACE, TIMOTHY MICHAEL, MD is 21155 ANN RITA DRIVE, Brookfield 53045. This doctor license is not current. The license was granted 08/03/1995 and expired on 12/31/1999.

Georgia

Composite Medical Board

WALLACE, TIMOTHY MICHAEL, MD
Medical - Physician
License number
040584
Date granted
08/03/1995
Date expires
12/31/1999
Class
Medical - Physician
Status
Inactive
Address
21155 ANN RITA DRIVE
georgiadoctors.net
ID 38090383
LAST UPDATED 2024-04-22 15:34:43 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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