License holder summary

KOLLOCK , ANITA S. is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is current. The license was granted 11/09/1983 and expired on 09/30/2016.

Department of Health

Board of Medical Examiners

KOLLOCK , ANITA S.
Department Of Health - Dental Assistant
License number
1269
Date granted
11/09/1983
Date expires
09/30/2016
Class
Department Of Health - Dental Assistant
Status
Registered
Address
medicaltn.com
ID 41961606
LAST UPDATED 2024-03-09 18:50:52 UTC

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