License holder summary

MATTESON, JACK E, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MATTESON, JACK E, MD is 1079 MISSOURI BLVD, STE 2-354, JEFFERSON CITY 65109. This doctor license is current. The license was granted 12/06/1990 and expired on 03/31/2017.

Georgia

Composite Medical Board

MATTESON, JACK E, MD
Medical - Physician
License number
033864
Date granted
12/06/1990
Date expires
03/31/2017
Class
Medical - Physician
Status
Active
Address
1079 MISSOURI BLVD, STE 2-354
georgiadoctors.net
ID 38063161
LAST UPDATED 2023-12-30 13:46:17 UTC

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