License holder summary

RUSSELL , STACY M. is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 02/22/1995 and expired on 03/31/1997.

Department of Health

Board of Medical Examiners

RUSSELL , STACY M.
Department Of Health - Dental Assistant
License number
6159
Date granted
02/22/1995
Date expires
03/31/1997
Class
Department Of Health - Dental Assistant
Status
Expired
Address
medicaltn.com
ID 41968117
LAST UPDATED 2024-02-23 14:29:00 UTC

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