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Jong Ho
Jong ho
Moon
Medical doctor visiting faculty ...
YANGCHUN-KU, US
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Florida Health Care Practitioner Data Portal
Full name
JONG HO MOON
Job Title
Medical Doctor Visiting Faculty Certificate
Location
Yangchun-Ku
LIC ID
79
Current License Expiration Date
06/07/2024
Original Date
07/07/2023
Professional Rank Code
TCVP
Effective Date
07/07/2023
Board Action Indicator
N
License Status Description
ACTIVE
Mailing Address Line 2
#402 HYOWON VILLAT
Practice Location Address Line 1
135-6 MOK-DONG
Practice Location Address Line 2
#402 HYOWON VILLAT
Practice Location Address City
YANGCHUN-KU
Practice Location Address Zipcode
07969
Mode Code
NICA Exempt
Prescribing Indicator
N
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