The holder whose full name is Coffey, Jack L.,come from Norcross GA,hold the Physicist - Health license(NO.XP002162) which status is Active.
| Name | Coffey, Jack L. |
|---|---|
| License Number | XP002162 |
| License Type | Physicist - Health |
| License Status | Active |
| City | Norcross |
| State | GA |