License holder summary

SAMPLE , STACI M is a Department Of Health - Dental Hygienist licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 09/14/2005 and expired on 09/30/2007.

Department of Health

Board of Medical Examiners

SAMPLE , STACI M
Department Of Health - Dental Hygienist
License number
6136
Date granted
09/14/2005
Date expires
09/30/2007
Class
Department Of Health - Dental Hygienist
Status
Retired
Address
medicaltn.com
ID 41983589
LAST UPDATED 2024-03-21 22:24:31 UTC

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