License holder summary

JACKSON, LATRAVIA SHANTELL is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for JACKSON, LATRAVIA SHANTELL is 3306 EVANS MILL RD, Lithonia 30038. This doctor license is current. The license was granted 11/10/2014 and expired on 12/31/2017.

Georgia

Composite Medical Board

JACKSON, LATRAVIA SHANTELL
Medical - Respiratory Care Professional
License number
009384
Date granted
11/10/2014
Date expires
12/31/2017
Class
Medical - Respiratory Care Professional
Status
Active
Address
3306 EVANS MILL RD
georgiadoctors.net
ID 38107166
LAST UPDATED 2024-04-26 01:22:12 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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