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Ghiath
Ghiath
Kashlan
Owner/provider/ceo
Medical doctor
Lutz,
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Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Ghiath Kashlan
Job Title
Medical Doctor
Qualifications
Dispensing Practitioner
License Number
ME106343
License Status
Clear/Active
License Issue Date
10/02/2010
License Expiry Date
31/01/2026
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
GHIATH KASHLAN
Job Title
Medical Doctor
Location
Lutz, FL, USA
LIC ID
105189
Current License Expiration Date
31/01/2026
Original Date
10/02/2010
Professional Rank Code
ME
Effective Date
10/02/2010
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Mailing Address Line 2
SUITE 101
Practice Location Address Line 1
17921 HUNTING BOW CIRCLE
Practice Location Address Line 2
SUITE 101
Practice Location Address City
LUTZ
Practice Location Address State
FL
Practice Location Address Zipcode
33558
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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