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Lavern
Lavern
Thompson
Apprentice optician
Lake Panasoffkee, United States
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Florida Health Care Practitioner Data Portal
Full name
LAVERN THOMPSON
Job Title
Apprentice Optician
Location
Lake Panasoffkee, FL, USA
LIC ID
6272
Current License Expiration Date
18/03/2026
Original Date
19/03/2021
Professional Rank Code
DA
Effective Date
19/03/2021
Board Action Indicator
N
License Status Description
CLEAR
Country Description
SUMTER
Mailing Address Line 2
LOT 46A
Practice Location Address Line 1
1336 CR 459 Lot 46A
Practice Location Address City
LAKE PANASOFFKEE
Practice Location Address State
FL
Practice Location Address Zipcode
33538
Prescribing Indicator
N
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