License holder summary

LACK, KEVIN CHARLES is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for LACK, KEVIN CHARLES is 3675 J. DEWEY GRAY CIRCLE | SUITE 300, Augusta 30909. This doctor license is current. The license was granted 07/02/2004 and expired on 05/31/2018.

Georgia

Composite Medical Board

LACK, KEVIN CHARLES
Medical - Physician Assistant
License number
004292
Date granted
07/02/2004
Date expires
05/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
3675 J. DEWEY GRAY CIRCLE | SUITE 300
georgiadoctors.net
ID 38099498
LAST UPDATED 2026-06-22 06:03:25 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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