License holder summary

SELF, STANLEY JACKSON, MD is a Medical - Physician licensed to practice in Georgia. The address on file for SELF, STANLEY JACKSON, MD is 18 TWINLAKES ROAD S.W., Rome 30165. This doctor license is not current. The license was granted 07/27/1966 and expired on 07/31/2015.

Georgia

Composite Medical Board

SELF, STANLEY JACKSON, MD
Medical - Physician
License number
011470
Date granted
07/27/1966
Date expires
07/31/2015
Class
Medical - Physician
Status
Lapsed
Address
18 TWINLAKES ROAD S.W.
georgiadoctors.net
ID 38080171
LAST UPDATED 2024-04-24 21:32:36 UTC

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