License holder summary

JACKSON, RUDOLPH ELLSWORTH, MD is a Medical - Physician licensed to practice in Georgia. The address on file for JACKSON, RUDOLPH ELLSWORTH, MD is 893 WOODMERE DR, NW, Atlanta 30318. This doctor license is not current. The license was granted 07/26/1961 and expired on 05/31/2015.

Georgia

Composite Medical Board

JACKSON, RUDOLPH ELLSWORTH, MD
Medical - Physician
License number
009528
Date granted
07/26/1961
Date expires
05/31/2015
Class
Medical - Physician
Status
Lapsed
Address
893 WOODMERE DR, NW
georgiadoctors.net
ID 38052924
LAST UPDATED 2024-02-18 17:22:31 UTC

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