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Lisa Wallace

Advanced EMTlapsed - failure to renewLicense A029588
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Provider Information

First Name
Lisa
Last Name
Wallace
License Number
A029588
License Prefix
A0
Provider Type
Advanced EMT
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
bc93891b-63aa-e911-8259-cccaa7913d97

Grade

Grade not yet available.

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