License holder summary

JACKSON, SHANTAE LATOYA is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for JACKSON, SHANTAE LATOYA is 2225 SOUTH DESHON RD, Lithonia 30058. This doctor license is current. The license was granted 04/13/2004 and expired on 03/31/2018.

Georgia

Composite Medical Board

JACKSON, SHANTAE LATOYA
Medical - Respiratory Care Professional
License number
005753
Date granted
04/13/2004
Date expires
03/31/2018
Class
Medical - Respiratory Care Professional
Status
Active
Address
2225 SOUTH DESHON RD
georgiadoctors.net
ID 38107178
LAST UPDATED 2026-03-14 01:27:19 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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