License holder summary

FONTENOT , MICHAEL TODD is a Department Of Health - Medical Doctor licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 06/25/1997 and expired on 09/30/2005.

Department of Health

Board of Medical Examiners

FONTENOT , MICHAEL TODD
Department Of Health - Medical Doctor
License number
29519
Date granted
06/25/1997
Date expires
09/30/2005
Class
Department Of Health - Medical Doctor
Status
Retired
Address
medicaltn.com
ID 42179558
LAST UPDATED 2024-04-04 16:35:22 UTC

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