License holder summary

BLAYLOCK , HENRIETTA is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 04/10/1985 and expired on 12/31/1973.

Department of Health

Board of Medical Examiners

BLAYLOCK , HENRIETTA
Department Of Health - Dental Assistant
License number
1555
Date granted
04/10/1985
Date expires
12/31/1973
Class
Department Of Health - Dental Assistant
Status
Expired
Address
medicaltn.com
ID 41952006
LAST UPDATED 2024-03-30 21:35:57 UTC

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