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Carissa
Carissa
Bottisti
Radiologic technology
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
Carissa Bottisti
Job Title
Radiologic Technology
Location
Jacksonville, FL, USA
LIC ID
105978
Current License Expiration Date
28/02/2025
Original Date
23/07/2019
Professional Rank Code
CRT
Effective Date
23/07/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
4500 San Pablo road
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32224
Mode Code
Computed Tomography, General Radiographer
Prescribing Indicator
N
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