License holder summary

GREEN, JACOB TROMBLY, MD is a Medical - Physician licensed to practice in Georgia. The address on file for GREEN, JACOB TROMBLY, MD is PIERCE DRIVE, Decatur 00000. This doctor license is not current. The license was granted 03/05/2004 and expired on 06/30/2009.

Georgia

Composite Medical Board

GREEN, JACOB TROMBLY, MD
Medical - Physician
License number
054383
Date granted
03/05/2004
Date expires
06/30/2009
Class
Medical - Physician
Status
Lapsed
Address
PIERCE DRIVE
georgiadoctors.net
ID 38046661
LAST UPDATED 2024-02-23 23:00:39 UTC

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