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Deborah
Deborah
Kussrow
Clinical laboratory personnel
Crestview, United States
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Florida Health Care Practitioner Data Portal
Full name
DEBORAH KUSSROW
Job Title
Clinical Laboratory Personnel
Location
Crestview, FL, USA
LIC ID
25196
Current License Expiration Date
31/08/2024
Original Date
30/11/1993
Professional Rank Code
TN
Effective Date
18/06/1998
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
OKALOOSA
Mailing Address Line 2
#6753
Practice Location Address Line 1
1000 WATERMAN WAY
Practice Location Address City
TAVARES
Practice Location Address State
FL
Practice Location Address Zipcode
32778
Mode Code
Microbiology Technologist, Serology Technologist, Clinical Chemistry Technologist, Hematology Technologist, Immunohematology Technologist, Molecular Pathology Technologist
Prescribing Indicator
N
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