License holder summary

DERIESTHAL , MICHAEL ROBERT is a Department Of Health - Speech Pathologist licensed to practice in Tennessee. This medical licensee license is current. The license was granted 10/16/2007 and expired on 02/28/2017.

Department of Health

Board of Medical Examiners

DERIESTHAL , MICHAEL ROBERT
Department Of Health - Speech Pathologist
License number
3763
Date granted
10/16/2007
Date expires
02/28/2017
Class
Department Of Health - Speech Pathologist
Status
Licensed
Address
medicaltn.com
ID 42420426
LAST UPDATED 2024-03-31 19:21:54 UTC

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