License holder summary

NICHOLS, JEROME TAK is a Medical - Resident Physician licensed to practice in Georgia. The address on file for NICHOLS, JEROME TAK is 1404 RIVER PLACE | SUITE 401, Braselton 30517. This doctor license is not current. The license was granted 06/27/2012 and expired on 06/30/2013.

Georgia

Composite Medical Board

NICHOLS, JEROME TAK
Medical - Resident Physician
License number
005862
Date granted
06/27/2012
Date expires
06/30/2013
Class
Medical - Resident Physician
Status
Lapsed
Address
1404 RIVER PLACE | SUITE 401
georgiadoctors.net
ID 38118994
LAST UPDATED 2024-03-02 19:19:06 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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