License holder summary

LAKE , DEITRA L is a Department Of Health - Laboratory Personnel licensed to practice in Tennessee. This medical licensee license is current. The license was granted 02/18/1999 and expired on 12/31/2016.

Department of Health

Board of Medical Examiners

LAKE , DEITRA L
Department Of Health - Laboratory Personnel
License number
20164
Date granted
02/18/1999
Date expires
12/31/2016
Class
Department Of Health - Laboratory Personnel
Status
Licensed
Address
medicaltn.com
ID 42082733
LAST UPDATED 2024-04-23 00:18:21 UTC

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