License holder summary

SHORT, JACKIE LEANNE is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for SHORT, JACKIE LEANNE is 5567 UPPER NEW BETHEL ROAD, Valdosta 31605. This doctor license is not current. The license was granted 02/04/1999 and expired on 08/31/2013.

Georgia

Composite Medical Board

SHORT, JACKIE LEANNE
Medical - Respiratory Care Professional
License number
004447
Date granted
02/04/1999
Date expires
08/31/2013
Class
Medical - Respiratory Care Professional
Status
Lapsed
Address
5567 UPPER NEW BETHEL ROAD
georgiadoctors.net
ID 38110894
LAST UPDATED 2024-04-07 11:24:47 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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