License holder summary

SHINE, KATHLEEN ISABEL TUCKER, MD is a Medical - Physician licensed to practice in Georgia. The address on file for SHINE, KATHLEEN ISABEL TUCKER, MD is 1800 12TH ST ILL ROAD, MERIDAN 39301. This doctor license is not current. The license was granted 12/05/1996 and expired on 12/31/1997.

Georgia

Composite Medical Board

SHINE, KATHLEEN ISABEL TUCKER, MD
Medical - Physician
License number
042943
Date granted
12/05/1996
Date expires
12/31/1997
Class
Medical - Physician
Status
Lapsed
Address
1800 12TH ST ILL ROAD
georgiadoctors.net
ID 38081361
LAST UPDATED 2024-04-13 00:01:21 UTC

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