License holder summary

MANISCALCO, JODI LESLIE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for MANISCALCO, JODI LESLIE is RR # 5, BOX 1190B, Farmington 04938. This doctor license is not current. The license was granted 08/07/1997 and expired on 12/31/1998.

Georgia

Composite Medical Board

MANISCALCO, JODI LESLIE
Medical - Physician Assistant
License number
002966
Date granted
08/07/1997
Date expires
12/31/1998
Class
Medical - Physician Assistant
Status
Lapsed
Address
RR # 5, BOX 1190B
georgiadoctors.net
ID 38099854
LAST UPDATED 2024-02-21 12:01:44 UTC

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