License holder summary

BACON , JENISE VICTORIA is a Department Of Health - Physician Assistant licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 01/25/2002 and expired on 12/31/2005.

Department of Health

Board of Medical Examiners

BACON , JENISE VICTORIA
Department Of Health - Physician Assistant
License number
961
Date granted
01/25/2002
Date expires
12/31/2005
Class
Department Of Health - Physician Assistant
Status
Expired
Address
medicaltn.com
ID 42335654
LAST UPDATED 2024-02-17 12:34:34 UTC

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