License holder summary

COOPER, MARY LANE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for COOPER, MARY LANE is P.O. BOX 726 | SMITH STATE PRISON, Glennville 30427. This doctor license is current. The license was granted 02/11/1988 and expired on 02/28/2018.

Georgia

Composite Medical Board

COOPER, MARY LANE
Medical - Physician Assistant
License number
001586
Date granted
02/11/1988
Date expires
02/28/2018
Class
Medical - Physician Assistant
Status
Active
Address
P.O. BOX 726 | SMITH STATE PRISON
georgiadoctors.net
ID 38097305
LAST UPDATED 2026-04-06 01:27:39 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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