JOHANSON, JACQUELINE SUE

Medical - Physician Assistant

Georgia  004507   Active

This Georgia license is held by JOHANSON, JACQUELINE SUE. The license is currently active. It was granted on 05/06/2005 and expired on 08/31/2016

LICENSE DETAILS

  • License Number: 004507
  • Category: Physician Assistant
  • Status: Active
  • Date Granted: 05/06/2005 (about 19 years ago)
  • Expiry Date: 08/31/2016 (almost 8 years ago)

LOCATIONS

A Address

275 COLLIER RD | SUITE 450, Atlanta 30309