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Grace
Grace
Kelleman
Registered pharmacy technician
Winter Haven, United States
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Florida Health Care Practitioner Data Portal
Full name
Grace Kelleman
Job Title
Registered Pharmacy Technician
Location
Winter Haven, FL, USA
LIC ID
126448
Current License Expiration Date
31/12/2024
Original Date
20/09/2023
Professional Rank Code
RPT
Effective Date
20/09/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
POLK
Mailing Address Line 2
Apt 3
Practice Location Address Line 1
669 Avenue B NW
Practice Location Address Line 2
Apt 3
Practice Location Address City
WINTER HAVEN
Practice Location Address State
FL
Practice Location Address Zipcode
33881
Mode Code
Certified To Administer Immunizations
Prescribing Indicator
N
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