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James
James
Weaver
Radiologic technology
Dentist
Saint Johns, United States
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Florida Board of Medicine
Board Name
BOARD OF DENTISTRY
Full name
James Weaver
Job Title
Dentist
Qualifications
Pediatric Moderate Sedation
License Number
DN19403
License Status
Clear/Active
License Issue Date
22/06/2011
License Expiry Date
28/02/2026
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
JAMES WEAVER
Job Title
Radiologic Technology
Location
Jacksonville, FL, USA
Title
III
LIC ID
74522
Current License Expiration Date
31/05/2025
Original Date
17/09/2007
Professional Rank Code
CRT
Effective Date
23/07/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
5000 NW 27th, Court, Suite B
Practice Location Address City
GAINESVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32606
Mode Code
General Radiographer
Prescribing Indicator
N
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