License holder summary

SHANEWISE, JACK STACEY, MD is a Medical - Physician licensed to practice in Georgia. The address on file for SHANEWISE, JACK STACEY, MD is EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON ROAD, Atlanta 30322. This doctor license is not current. The license was granted 10/08/1992 and expired on 05/31/2009.

Georgia

Composite Medical Board

SHANEWISE, JACK STACEY, MD
Medical - Physician
License number
036283
Date granted
10/08/1992
Date expires
05/31/2009
Class
Medical - Physician
Status
Lapsed
Address
EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON ROAD
georgiadoctors.net
ID 38080727
LAST UPDATED 2026-04-09 12:17:52 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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