Georgia
Composite Medical Board
SPICELAND, JACK LOGAN
Medical - Physician Assistant
License number
001622
Date granted
04/02/1987
Date expires
12/31/2006
Class
Medical - Physician Assistant
Status
Lapsed
Address
230 DUDALA WAY
georgiadoctors.net
ID 38101713
LAST UPDATED 2024-04-16 16:04:12 UTC
LAST UPDATED 2024-04-16 16:04:12 UTC
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