License holder summary

JOHANSON, JACQUELINE SUE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for JOHANSON, JACQUELINE SUE is 275 COLLIER RD | SUITE 450, Atlanta 30309. This doctor license is current. The license was granted 05/06/2005 and expired on 08/31/2016.

Georgia

Composite Medical Board

JOHANSON, JACQUELINE SUE
Medical - Physician Assistant
License number
004507
Date granted
05/06/2005
Date expires
08/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
275 COLLIER RD | SUITE 450
georgiadoctors.net
ID 38099124
LAST UPDATED 2026-05-28 22:17:19 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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