License holder summary

IRVIN-BLACKSTOCK , KAYLA NICOLE is a Department Of Health - Dietitian/Nutritionist licensed to practice in Tennessee. This medical licensee license is current. The license was granted 05/23/2011 and expired on 04/30/2017.

Department of Health

Board of Medical Examiners

IRVIN-BLACKSTOCK , KAYLA NICOLE
Department Of Health - Dietitian/Nutritionist
License number
2261
Date granted
05/23/2011
Date expires
04/30/2017
Class
Department Of Health - Dietitian/Nutritionist
Status
Licensed
Address
medicaltn.com
ID 41999805
LAST UPDATED 2024-04-02 16:55:02 UTC

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