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Jessie
Jessie
Destefano
Radiologic technology
Lake Mary, United States
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Florida Health Care Practitioner Data Portal
Full name
JESSIE DESTEFANO
Job Title
Radiologic Technology
Location
Lake Mary, FL, USA
LIC ID
92295
Current License Expiration Date
30/04/2025
Original Date
11/03/2014
Professional Rank Code
CRT
Effective Date
11/03/2014
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SEMINOLE
Practice Location Address Line 1
6535 Nemours Parkway
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32827
Mode Code
General Radiographer
Prescribing Indicator
N
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