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Elisa
Elisa
Genaw
Radiologic technology
Cocoa, United States
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Florida Health Care Practitioner Data Portal
Full name
Elisa Genaw
Job Title
Radiologic Technology
Location
Cocoa, FL, USA
LIC ID
48870
Current License Expiration Date
30/11/2025
Professional Rank Code
CRT
Effective Date
11/10/2005
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BREVARD
Practice Location Address Line 1
951 N. WASHINGTON AVE.
Practice Location Address City
TITUSVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32796
Mode Code
General Radiographer
Prescribing Indicator
N
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