License holder summary

JACKSON, LEWIS JR, MD is a Medical - Physician licensed to practice in Georgia. The address on file for JACKSON, LEWIS JR, MD is 2116 4TH ST NE, Washington 20002. This doctor license is not current. The license was granted 03/01/2012 and expired on 06/30/2013.

Georgia

Composite Medical Board

JACKSON, LEWIS JR, MD
Medical - Physician
License number
067476
Date granted
03/01/2012
Date expires
06/30/2013
Class
Medical - Physician
Status
Surrendered
Address
2116 4TH ST NE
georgiadoctors.net
ID 38052892
LAST UPDATED 2024-04-16 10:49:10 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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