License holder summary

WISE, TERRENCE RAYNALDO JACKSON, MD is a Medical - Physician licensed to practice in Georgia. The address on file for WISE, TERRENCE RAYNALDO JACKSON, MD is 11 UPPER RIVERDALE ROAD SW 30274. This doctor license is current. The license was granted 05/06/2005 and expired on 11/30/2017.

Georgia

Composite Medical Board

WISE, TERRENCE RAYNALDO JACKSON, MD
Medical - Physician
License number
056246
Date granted
05/06/2005
Date expires
11/30/2017
Class
Medical - Physician
Status
Active
Address
11 UPPER RIVERDALE ROAD SW
georgiadoctors.net
ID 38093342
LAST UPDATED 2024-03-03 04:54:36 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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