License holder summary

WALLER, RICHARD EDMUND, MD is a Medical - Physician licensed to practice in Georgia. The address on file for WALLER, RICHARD EDMUND, MD is 10513 COLONY TRACE DRIVE, RICHMOND 23235. This doctor license is not current. The license was granted 12/08/1988 and expired on 12/31/1991.

Georgia

Composite Medical Board

WALLER, RICHARD EDMUND, MD
Medical - Physician
License number
031526
Date granted
12/08/1988
Date expires
12/31/1991
Class
Medical - Physician
Status
Lapsed
Address
10513 COLONY TRACE DRIVE
georgiadoctors.net
ID 38090406
LAST UPDATED 2024-04-09 18:23:26 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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