License holder summary

JAQUEZ, FANNY M, MD is a Medical - Physician licensed to practice in Georgia. The address on file for JAQUEZ, FANNY M, MD is 1210 W 18TH STREET | SUITE 101, SIOUX FALLS 57104. This doctor license is current. The license was granted 06/04/2004 and expired on 04/30/2017.

Georgia

Composite Medical Board

JAQUEZ, FANNY M, MD
Medical - Physician
License number
054903
Date granted
06/04/2004
Date expires
04/30/2017
Class
Medical - Physician
Status
Active
Address
1210 W 18TH STREET | SUITE 101
georgiadoctors.net
ID 38053299
LAST UPDATED 2026-05-03 20:13:19 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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