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Gina
Gina
Granville
Radiologic technology
Lynn Haven, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
Gina Granville
Job Title
Radiologic Technology
Location
Lynn Haven, FL, USA
LIC ID
117089
Current License Expiration Date
31/07/2025
Original Date
17/10/2023
Professional Rank Code
CRT
Effective Date
17/10/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BAY
Practice Location Address Line 1
2536 Johnson Dr
Practice Location Address City
LYNN HAVEN
Practice Location Address State
FL
Practice Location Address Zipcode
32444
Mode Code
Nuclear Medicine Technologist
Prescribing Indicator
N
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