License holder summary

JACKSON, ANISHA NICOLE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for JACKSON, ANISHA NICOLE is 750 MT ZION RD, Atlanta 30236. This doctor license is not current. The license was granted 08/06/2010 and expired on 02/29/2016.

Georgia

Composite Medical Board

JACKSON, ANISHA NICOLE
Medical - Physician Assistant
License number
005881
Date granted
08/06/2010
Date expires
02/29/2016
Class
Medical - Physician Assistant
Status
Inactive
Address
750 MT ZION RD
georgiadoctors.net
ID 38099020
LAST UPDATED 2024-04-06 19:50:20 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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