SELF, STANLEY JACKSON, MD
Medical - Physician
Georgia 011470 Lapsed
This Georgia license was held by SELF, STANLEY JACKSON, MD. The license is no longer active. It was granted on 07/27/1966 and expired on 07/31/2015
LICENSE DETAILS
- License Number: 011470
- Category: Physician
- Status: Lapsed
- Date Granted: 07/27/1966 (almost 58 years ago)
- Expiry Date: 07/31/2015 (almost 9 years ago)
LOCATIONS
A Address
18 TWINLAKES ROAD S.W., Rome 30165