License holder summary

SHACKELFORD , PHYLLIS JEAN is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 03/11/2004 and expired on 11/30/2007.

Department of Health

Board of Medical Examiners

SHACKELFORD , PHYLLIS JEAN
Department Of Health - Dental Assistant
License number
10187
Date granted
03/11/2004
Date expires
11/30/2007
Class
Department Of Health - Dental Assistant
Status
Retired
Address
medicaltn.com
ID 41969116
LAST UPDATED 2024-01-30 10:01:59 UTC

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