License holder summary

WALLACE , LISA M is a Department Of Health - Dental Assistant licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 07/01/1986 and expired on 03/31/2012.

Department of Health

Board of Medical Examiners

WALLACE , LISA M
Department Of Health - Dental Assistant
License number
2023
Date granted
07/01/1986
Date expires
03/31/2012
Class
Department Of Health - Dental Assistant
Status
Expired
Address
medicaltn.com
ID 41972517
LAST UPDATED 2024-04-19 14:25:41 UTC

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