License holder summary

PORTER, JAKE JOHNSON III is a Medical - Resident Physician licensed to practice in Georgia. The address on file for PORTER, JAKE JOHNSON III is 303 PARKWAY DR NE | BOX 423, Atlanta 30312. This doctor license is not current. The license was granted 05/22/2012 and expired on 06/30/2015.

Georgia

Composite Medical Board

PORTER, JAKE JOHNSON III
Medical - Resident Physician
License number
005491
Date granted
05/22/2012
Date expires
06/30/2015
Class
Medical - Resident Physician
Status
Lapsed
Address
303 PARKWAY DR NE | BOX 423
georgiadoctors.net
ID 38119623
LAST UPDATED 2024-04-17 05:42:43 UTC

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