License holder summary

JACKSON, RUSSELL T, MD is a Medical - Physician licensed to practice in Georgia. The address on file for JACKSON, RUSSELL T, MD is 1175 S. AMHERST PH #12, BRENTWOOD 90049. This doctor license is not current. The license was granted 01/01/1900 and expired on 12/31/1987.

Georgia

Composite Medical Board

JACKSON, RUSSELL T, MD
Medical - Physician
License number
009529
Date granted
01/01/1900
Date expires
12/31/1987
Class
Medical - Physician
Status
Inactive
Address
1175 S. AMHERST PH #12
georgiadoctors.net
ID 38052925
LAST UPDATED 2024-04-04 16:51:08 UTC

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