License holder summary

RUBACK, THEODORE JAY is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for RUBACK, THEODORE JAY is 440 BARBASHELA DRIVE, Stone Mountain 30088. This doctor license is not current. The license was granted 10/08/1987 and expired on 12/31/1994.

Georgia

Composite Medical Board

RUBACK, THEODORE JAY
Medical - Physician Assistant
License number
001710
Date granted
10/08/1987
Date expires
12/31/1994
Class
Medical - Physician Assistant
Status
Lapsed
Address
440 BARBASHELA DRIVE
georgiadoctors.net
ID 38101222
LAST UPDATED 2026-04-02 23:09:41 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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