License holder summary

BASIL, JACK B, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BASIL, JACK B, MD is 1365 CLIFTON RD., NE | EMORY CLINIC BUILDING A, Atlanta 30322. This doctor license is not current. The license was granted 04/07/2000 and expired on 12/31/2005.

Georgia

Composite Medical Board

BASIL, JACK B, MD
Medical - Physician
License number
048596
Date granted
04/07/2000
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
1365 CLIFTON RD., NE | EMORY CLINIC BUILDING A
georgiadoctors.net
ID 38027099
LAST UPDATED 2024-04-28 22:43:44 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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