License holder summary

WICKSTRUM, DALE ALAN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for WICKSTRUM, DALE ALAN, MD is 2003 CENTRE POINT BLVD., TALLAHASSEE 32308. This doctor license is current. The license was granted 06/04/2004 and expired on 12/31/2017.

Georgia

Composite Medical Board

WICKSTRUM, DALE ALAN, MD
Medical - Physician
License number
054955
Date granted
06/04/2004
Date expires
12/31/2017
Class
Medical - Physician
Status
Active
Address
2003 CENTRE POINT BLVD.
georgiadoctors.net
ID 38092240
LAST UPDATED 2026-04-23 12:46:08 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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