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Dhanwantie
Dhanwantie
Tilak
Licensed practical nurse
Tampa, United States
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Florida Health Care Practitioner Data Portal
Full name
Dhanwantie Tilak
Job Title
Licensed Practical Nurse
Location
Tampa, FL, USA
LIC ID
190005
Current License Expiration Date
31/07/2025
Original Date
19/07/2017
Professional Rank Code
PN
Effective Date
19/07/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Mailing Address Line 2
APT 302
Practice Location Address Line 1
500 N Westshore Blvd
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33609
Mode Code
Single-state License
Prescribing Indicator
N
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