License holder summary

TISDALE, DETRA MICHELLE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for TISDALE, DETRA MICHELLE, MD is 4619 PECAN HARVEST DR, COLLIERVILLE 38017. This doctor license is not current. The license was granted 09/12/2003 and expired on 03/31/2011.

Georgia

Composite Medical Board

TISDALE, DETRA MICHELLE, MD
Medical - Physician
License number
053713
Date granted
09/12/2003
Date expires
03/31/2011
Class
Medical - Physician
Status
Lapsed
Address
4619 PECAN HARVEST DR
georgiadoctors.net
ID 38087622
LAST UPDATED 2026-07-08 09:38:09 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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