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Jesus
Jesus
Diaz
Biological administrator iii
Clinical laboratory personnel
West Palm Beach,
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Florida Board of Medicine
Board Name
BOARD OF CLINICAL LABORATORY PERSONNEL
Full name
Jesus Diaz
Job Title
Clinical Laboratory Supervisor
Qualifications
Microbiology Supervisor
License Number
SU28604
License Status
Clear/Active
License Issue Date
28/08/1989
License Expiry Date
31/08/2024
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
JESUS DIAZ
Job Title
Clinical Laboratory Personnel
Location
West Palm Bch
LIC ID
21172
Current License Expiration Date
31/08/2024
Original Date
28/08/1989
Professional Rank Code
SU
Effective Date
11/06/1998
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PALM BEACH
Practice Location Address Line 1
1150 45TH ST.
Practice Location Address Line 2
Rm L-200
Practice Location Address City
WEST PALM BCH
Practice Location Address State
FL
Practice Location Address Zipcode
33407
Mode Code
Microbiology Supervisor, Serology Supervisor, Clinical Chemistry Supervisor, Hematology Supervisor
Prescribing Indicator
N
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