License holder summary

SULLIVAN, JERRY WAYNE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for SULLIVAN, JERRY WAYNE is 149 JACOB GIBBS RD, TYTY 31795. This doctor license is current. The license was granted 06/04/2004 and expired on 10/31/2016.

Georgia

Composite Medical Board

SULLIVAN, JERRY WAYNE
Medical - Physician Assistant
License number
004285
Date granted
06/04/2004
Date expires
10/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
149 JACOB GIBBS RD
georgiadoctors.net
ID 38101885
LAST UPDATED 2024-05-12 19:19:44 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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