License holder summary

WALLER, TERRY FONTAINE is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for WALLER, TERRY FONTAINE is 5826 WINDSOR DRIVE, Columbus 31909. This doctor license is not current. The license was granted 10/06/1994 and expired on 06/30/2002.

Georgia

Composite Medical Board

WALLER, TERRY FONTAINE
Medical - Respiratory Care Professional
License number
003037
Date granted
10/06/1994
Date expires
06/30/2002
Class
Medical - Respiratory Care Professional
Status
Lapsed
Address
5826 WINDSOR DRIVE
georgiadoctors.net
ID 38112135
LAST UPDATED 2024-04-16 16:15:14 UTC

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