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Deeva
Deeva
Chisolm
Certified nursing assistant
Tampa, United States
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Profile Summary
Full name
Deeva Chisolm
Job Title
Certified Nursing Assistant
Company Name
Tampa Lakes and Rehab
Florida Health Care Practitioner Data Portal
Full name
DEEVA CHISOLM
Job Title
Certified Nursing Assistant
Location
Tampa, FL, USA
LIC ID
778575
Current License Expiration Date
31/05/2024
Original Date
02/09/2019
Professional Rank Code
CNA
Effective Date
02/09/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
8903 N Otis Ave
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33604
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