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Amy
Amy
Pendleton
Behavior analyst
Licensed practical nurse
Lake Butler,
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Florida Health Care Practitioner Data Portal
Full name
Amy Pendleton
Job Title
Licensed Practical Nurse
Location
Lake Butler, FL, USA
LIC ID
193194
Current License Expiration Date
31/07/2025
Original Date
23/02/2018
Professional Rank Code
PN
Effective Date
23/02/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
UNION
Mailing Address Line 2
103
Practice Location Address Line 1
5379 SW County Road 791
Practice Location Address Line 2
103
Practice Location Address City
LAKE BUTLER
Practice Location Address State
FL
Practice Location Address Zipcode
32054
Mode Code
Single-state License
Prescribing Indicator
N
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