License holder summary

WALLER, JASON MARSHALL, DO is a Medical - Physician licensed to practice in Georgia. The address on file for WALLER, JASON MARSHALL, DO is 5508 SOUTH LEA LANE, Columbus 31909. This doctor license is not current. The license was granted 10/08/1998 and expired on 12/31/2001.

Georgia

Composite Medical Board

WALLER, JASON MARSHALL, DO
Medical - Physician
License number
046510
Date granted
10/08/1998
Date expires
12/31/2001
Class
Medical - Physician
Status
Lapsed
Address
5508 SOUTH LEA LANE
georgiadoctors.net
ID 38090403
LAST UPDATED 2024-04-15 20:59:19 UTC

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