409 Arrowhead Blvd.
Jonesboro, GA 30236
Phone: 470-875-8476
Public Health Program Manager: Alkevius Smith, MPA
WWW.MPOWERRHWA.ORG
SHANE GALLOP CLEARANCE Status Report
Patient Name:
SHANE GALLOP
Age:
34Sex:
MALED.O.B. :
05/17/19887 Days:
NOT CLEAREDExpires on: 3 22, 1988
14 Days:
CLEAREDExpires on: 3 29, 1988
30 Days:
CLEAREDExpires on: 4 14, 1988
Test Date:
3 15, 1988Current Date
3 27, 2023Thanks for choosing MPOWERR HWA!
This information is subject to all Federal and State laws regarding confidentiality and privacy and to the policies of MPOWERR Health and Wellness of Atlanta, Inc. regarding patient information. Any unauthorized use, disclosure, or reproduction of this information is strictly prohibited
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