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 2026-03-19 19:26:54 UTC
LAST UPDATED 2026-03-19 19:26:54 UTC
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