License holder summary

BLACK-SOUTHALL , SHANELL LANETTE is a Department Of Health - Occupational Therapist licensed to practice in Tennessee. This medical licensee license is current. The license was granted 02/07/2008 and expired on 02/28/2018.

Department of Health

Board of Medical Examiners

BLACK-SOUTHALL , SHANELL LANETTE
Department Of Health - Occupational Therapist
License number
3691
Date granted
02/07/2008
Date expires
02/28/2018
Class
Department Of Health - Occupational Therapist
Status
Licensed
Address
medicaltn.com
ID 42242346
LAST UPDATED 2024-04-03 02:40:56 UTC

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