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Recruiting CRM
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Derek
Derek
Chan
Registration for resident/hse ph...
Student in an organized health c...
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
Derek Chan
Job Title
Registration for Resident/HSE Physician
Location
Jacksonville, FL, USA
LIC ID
43006
Current License Expiration Date
30/06/2025
Original Date
31/05/2023
Professional Rank Code
TRN
Effective Date
31/05/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
655 West 8th Street
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32209
Prescribing Indicator
N
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