JACKSON, TOMMY LAMAR
Medical - Physician Assistant
Georgia 004173 Inactive
This Georgia license was held by JACKSON, TOMMY LAMAR. The license is no longer active. It was granted on 11/07/2003 and expired on 02/29/2016
LICENSE DETAILS
- License Number: 004173
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 11/07/2003 (over 20 years ago)
- Expiry Date: 02/29/2016 (over 8 years ago)
LOCATIONS
A Address
4850 GLADSTONE PARKWAY, Suwanee 30024