JACKSON, WALTER OSBORNE, MD
Medical - Physician
Georgia 048786 Lapsed
This Georgia license was held by JACKSON, WALTER OSBORNE, MD. The license is no longer active. It was granted on 05/05/2000 and expired on 12/31/2014
LICENSE DETAILS
- License Number: 048786
- Category: Physician
- Status: Lapsed
- Date Granted: 05/05/2000 (about 25 years ago)
- Expiry Date: 12/31/2014 (over 10 years ago)
LOCATIONS
A Address
2414 EAST STATE BLVD | STE. 202, FORT WAYNE 46805