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
LAST UPDATED 2024-01-30 10:01:59 UTC
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