License holder summary

HENEISEN, JACK DAVID, MD is a Medical - Physician licensed to practice in Georgia. The address on file for HENEISEN, JACK DAVID, MD is 1214 N. COLUMBIA | P.O. BOX 2089, Rincon 31326. This doctor license is current. The license was granted 08/12/1981 and expired on 08/31/2016.

Georgia

Composite Medical Board

HENEISEN, JACK DAVID, MD
Medical - Physician
License number
022780
Date granted
08/12/1981
Date expires
08/31/2016
Class
Medical - Physician
Status
Active
Address
1214 N. COLUMBIA | P.O. BOX 2089
georgiadoctors.net
ID 38049913
LAST UPDATED 2026-06-07 14:30:01 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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