License holder summary

JACKSON, TIMOTHY DALE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for JACKSON, TIMOTHY DALE, MD is 12080 NEW ORLEANS AVE., GULFPORT 39503. This doctor license is not current. The license was granted 04/08/1993 and expired on 03/31/2007.

Georgia

Composite Medical Board

JACKSON, TIMOTHY DALE, MD
Medical - Physician
License number
036784
Date granted
04/08/1993
Date expires
03/31/2007
Class
Medical - Physician
Status
Lapsed
Address
12080 NEW ORLEANS AVE.
georgiadoctors.net
ID 38052933
LAST UPDATED 2026-05-12 20:36:31 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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