License holder summary

JACKSON, LANA LIANE is a Medical - Resident Physician licensed to practice in Georgia. The address on file for JACKSON, LANA LIANE is 1120 15TH STREET | SUITE BP4150, Augusta 30912. This doctor license is not current. The license was granted 07/02/2004 and expired on 06/30/2005.

Georgia

Composite Medical Board

JACKSON, LANA LIANE
Medical - Resident Physician
License number
000197
Date granted
07/02/2004
Date expires
06/30/2005
Class
Medical - Resident Physician
Status
Lapsed
Address
1120 15TH STREET | SUITE BP4150
georgiadoctors.net
ID 38117131
LAST UPDATED 2024-02-26 11:08:16 UTC

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