License holder summary

FORTH , MISTY TENEILLE is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is current. The license was granted 12/22/2004 and expired on 12/31/2016.

Department of Health

Board of Medical Examiners

FORTH , MISTY TENEILLE
Department Of Health - Dental Assistant
License number
10295
Date granted
12/22/2004
Date expires
12/31/2016
Class
Department Of Health - Dental Assistant
Status
Registered
Address
medicaltn.com
ID 41956864
LAST UPDATED 2026-04-12 14:37:01 UTC

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