License holder summary

LARGE , KEITH WADE is a Department Of Health - Emergency Medical Personnel licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 06/11/1996 and expired on 02/29/2012.

Department of Health

Board of Medical Examiners

LARGE , KEITH WADE
Department Of Health - Emergency Medical Personnel
License number
21941
Date granted
06/11/1996
Date expires
02/29/2012
Class
Department Of Health - Emergency Medical Personnel
Status
Revoked
Address
medicaltn.com
ID 42025437
LAST UPDATED 2024-04-15 17:21:09 UTC

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