License holder summary

BROCKMAN , LAVONDA MARIE is a Department Of Health - Dental Hygienist licensed to practice in Tennessee. This medical licensee license is current. The license was granted 07/02/2003 and expired on 08/31/2016.

Department of Health

Board of Medical Examiners

BROCKMAN , LAVONDA MARIE
Department Of Health - Dental Hygienist
License number
5648
Date granted
07/02/2003
Date expires
08/31/2016
Class
Department Of Health - Dental Hygienist
Status
Licensed
Address
medicaltn.com
ID 41975686
LAST UPDATED 2024-02-26 14:45:32 UTC

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