License holder summary

BLAYLOCK , SHANNON ANNETTE is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is current. The license was granted 04/25/2008 and expired on 04/30/2017.

Department of Health

Board of Medical Examiners

BLAYLOCK , SHANNON ANNETTE
Department Of Health - Dental Assistant
License number
12967
Date granted
04/25/2008
Date expires
04/30/2017
Class
Department Of Health - Dental Assistant
Status
Registered
Address
medicaltn.com
ID 41952120
LAST UPDATED 2026-05-26 18:49:18 UTC

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