License holder summary

STIDHAM , PRENTISS DETMER is a Department Of Health - Speech Pathologist licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 12/02/2003 and expired on 11/30/2012.

Department of Health

Board of Medical Examiners

STIDHAM , PRENTISS DETMER
Department Of Health - Speech Pathologist
License number
2997
Date granted
12/02/2003
Date expires
11/30/2012
Class
Department Of Health - Speech Pathologist
Status
Expired
Address
medicaltn.com
ID 42424079
LAST UPDATED 2026-03-23 00:40:43 UTC

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