License holder summary

JACKSON, CAROLYN LUCILLE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for JACKSON, CAROLYN LUCILLE, MD is 4100 BOY SCOUT BLVD, TAMPA 33608. This doctor license is not current. The license was granted 06/08/1995 and expired on 10/31/2007.

Georgia

Composite Medical Board

JACKSON, CAROLYN LUCILLE, MD
Medical - Physician
License number
040106
Date granted
06/08/1995
Date expires
10/31/2007
Class
Medical - Physician
Status
Lapsed
Address
4100 BOY SCOUT BLVD
georgiadoctors.net
ID 38052830
LAST UPDATED 2024-04-29 08:45:11 UTC

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