DAVIS, JACK EDWARD, MD
Medical - Physician
Georgia 015193 Lapsed
This Georgia license was held by DAVIS, JACK EDWARD, MD. The license is no longer active. It was granted on 04/25/1973 and expired on 12/31/1987
LICENSE DETAILS
- License Number: 015193
- Category: Physician
- Status: Lapsed
- Date Granted: 04/25/1973 (about 52 years ago)
- Expiry Date: 12/31/1987 (over 37 years ago)
LOCATIONS
A Address
6641 HALM AVENUE, LOS ANGELES 90056