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Laeticia
Laeticia
Muforo
Licensed practical nurse
Brandon, United States
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Florida Health Care Practitioner Data Portal
Full name
LAETICIA MUFORO
Job Title
Licensed Practical Nurse
Location
Brandon, FL, USA
LIC ID
98220
Current License Expiration Date
31/07/2025
Original Date
05/02/2003
Professional Rank Code
PN
Effective Date
05/02/2003
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
3109 west Martin Luther King
Practice Location Address Line 2
Jr. Boulevard suite 500
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33607
Mode Code
Single-state License
Prescribing Indicator
N
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