License holder summary

KELLUM , STACI M is a Department Of Health - Speech Pathologist licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 08/08/2012 and expired on 05/31/2015.

Department of Health

Board of Medical Examiners

KELLUM , STACI M
Department Of Health - Speech Pathologist
License number
4589
Date granted
08/08/2012
Date expires
05/31/2015
Class
Department Of Health - Speech Pathologist
Status
Retired
Address
medicaltn.com
ID 42421885
LAST UPDATED 2024-02-15 15:42:30 UTC

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