Georgia
Composite Medical Board
JACKSON, KENNETH WADE JR, MD
Medical - Physician
License number
050293
Date granted
07/13/2001
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
870 AUSTIN DRIVE
georgiadoctors.net
ID 38052882
LAST UPDATED 2026-03-21 16:50:47 UTC
LAST UPDATED 2026-03-21 16:50:47 UTC
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