License holder summary

CLARK , BENJAMIN WAYNE is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is current. The license was granted 05/04/2011 and expired on 04/30/2018.

Department of Health

Board of Medical Examiners

CLARK , BENJAMIN WAYNE
Department Of Health - Dental Assistant
License number
16131
Date granted
05/04/2011
Date expires
04/30/2018
Class
Department Of Health - Dental Assistant
Status
Registered
Address
medicaltn.com
ID 41953762
LAST UPDATED 2024-02-05 18:04:46 UTC

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