LISA CHANEL JACKSON MD - Medical Doctor License in Georgia | # 036113699

LISA CHANEL JACKSON MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113699

License Status

ACTIVE

Business

N

First Name

LISA

Middle

CHANEL

Last Name

JACKSON

Suffix

MD

Business Name

LISA CHANEL JACKSON MD

Original Issue Date

05/16/2005

Effective Date

07/21/2023

Expiration Date

07/31/2026

State

GA

Ever Disciplined

N

LastModifiedDate

04/03/2024