License holder summary

TISDALE , DETRA MICHELLE is a Department Of Health - Medical Doctor licensed to practice in Tennessee. This medical licensee license is current. The license was granted 07/27/2010 and expired on 03/31/2017.

Department of Health

Board of Medical Examiners

TISDALE , DETRA MICHELLE
Department Of Health - Medical Doctor
License number
46435
Date granted
07/27/2010
Date expires
03/31/2017
Class
Department Of Health - Medical Doctor
Status
Licensed
Address
medicaltn.com
ID 42198162
LAST UPDATED 2024-04-03 00:21:48 UTC

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