License holder summary

MOON, JENNIFER is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for MOON, JENNIFER is 2805 SHANDY AVENUE, WILMINGTON 28409. This doctor license is not current. The license was granted 06/11/2001 and expired on 12/31/2002.

Georgia

Composite Medical Board

MOON, JENNIFER
Medical - Physician Assistant
License number
003651
Date granted
06/11/2001
Date expires
12/31/2002
Class
Medical - Physician Assistant
Status
Lapsed
Address
2805 SHANDY AVENUE
georgiadoctors.net
ID 38100279
LAST UPDATED 2024-04-20 19:55:00 UTC

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