License holder summary

WILSON, JERRY DEWAYNE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for WILSON, JERRY DEWAYNE is 5910 HILLANDALE DRIVE | #300, Lithonia 30058. This doctor license is current. The license was granted 02/05/1998 and expired on 11/30/2016.

Georgia

Composite Medical Board

WILSON, JERRY DEWAYNE
Medical - Physician Assistant
License number
003052
Date granted
02/05/1998
Date expires
11/30/2016
Class
Medical - Physician Assistant
Status
Active
Address
5910 HILLANDALE DRIVE | #300
georgiadoctors.net
ID 38102552
LAST UPDATED 2024-04-23 09:51:20 UTC

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