License holder summary

JORDAN, THOMAS BENNETT is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for JORDAN, THOMAS BENNETT is 890 WILLIS GLENN ROAD, Hull 30646. This doctor license is not current. The license was granted 04/02/1987 and expired on 12/31/2004.

Georgia

Composite Medical Board

JORDAN, THOMAS BENNETT
Medical - Physician Assistant
License number
001602
Date granted
04/02/1987
Date expires
12/31/2004
Class
Medical - Physician Assistant
Status
Lapsed
Address
890 WILLIS GLENN ROAD
georgiadoctors.net
ID 38099230
LAST UPDATED 2024-03-05 02:42:37 UTC

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