License holder summary

MACK, ANTONIO DERRELL is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for MACK, ANTONIO DERRELL is 1873 GREAT SHOALS CIRCLE, Lawrenceville 30045. This doctor license is current. The license was granted 03/11/2013 and expired on 01/31/2017.

Georgia

Composite Medical Board

MACK, ANTONIO DERRELL
Medical - Respiratory Care Professional
License number
008835
Date granted
03/11/2013
Date expires
01/31/2017
Class
Medical - Respiratory Care Professional
Status
Active
Address
1873 GREAT SHOALS CIRCLE
georgiadoctors.net
ID 38108253
LAST UPDATED 2026-03-30 05:13:16 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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