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Caclinh
Caclinh
Le-lassiter
Dental residency permits
Davie, United States
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Florida Health Care Practitioner Data Portal
Full name
CACLINH LE-LASSITER
Job Title
Dental Residency Permits
Location
Davie, FL, USA
LIC ID
2470
Current License Expiration Date
01/07/2024
Original Date
22/07/2022
Professional Rank Code
DRPM
Effective Date
22/06/2023
Board Action Indicator
N
License Status Description
CLEAR
Country Description
BROWARD
Mailing Address Line 2
NOVA SOUTHEASTERN
Practice Location Address Line 1
3103 SW 76TH AVENUE
Practice Location Address Line 2
NOVA SOUTHEASTERN
Practice Location Address City
DAVIE
Practice Location Address State
FL
Practice Location Address Zipcode
33314
Prescribing Indicator
N
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