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Alisa
Alisa
Maddock
Radiologic technology
Winter Garden, United States
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Florida Health Care Practitioner Data Portal
Full name
ALISA MADDOCK
Job Title
Radiologic Technology
Location
Winter Garden, FL, USA
LIC ID
103544
Current License Expiration Date
31/05/2024
Original Date
07/08/2018
Professional Rank Code
CRT
Effective Date
07/08/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
16711 16711 Wingspread Loop
Practice Location Address City
WINTER GARDEN
Practice Location Address State
FL
Practice Location Address Zipcode
34787
Mode Code
General Radiographer
Prescribing Indicator
N
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