License holder summary

BLAZIC , STACIE K is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 05/09/1991 and expired on 02/28/2006.

Department of Health

Board of Medical Examiners

BLAZIC , STACIE K
Department Of Health - Dental Assistant
License number
4217
Date granted
05/09/1991
Date expires
02/28/2006
Class
Department Of Health - Dental Assistant
Status
Expired
Address
medicaltn.com
ID 41952034
LAST UPDATED 2024-03-28 04:47:36 UTC

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