License holder summary

BROUSSARD , LARRI KYM is a Department Of Health - Dental Hygienist licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 09/09/1987 and expired on 06/30/2015.

Department of Health

Board of Medical Examiners

BROUSSARD , LARRI KYM
Department Of Health - Dental Hygienist
License number
3157
Date granted
09/09/1987
Date expires
06/30/2015
Class
Department Of Health - Dental Hygienist
Status
Expired
Address
medicaltn.com
ID 41975613
LAST UPDATED 2024-03-10 09:56:47 UTC

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