License holder summary

BLACK , JAQUESE O is a Department Of Health - Dentist licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 08/20/1991 and expired on 04/30/1995.

Department of Health

Board of Medical Examiners

BLACK , JAQUESE O
Department Of Health - Dentist
License number
5382
Date granted
08/20/1991
Date expires
04/30/1995
Class
Department Of Health - Dentist
Status
Expired
Address
medicaltn.com
ID 41987111
LAST UPDATED 2024-04-12 08:56:28 UTC

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