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Lisan
Lisan
Smith
Dietetics - nutritionist
Apopka, United States
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Florida Health Care Practitioner Data Portal
Full name
LISAN SMITH
Job Title
Dietetics/Nutritionist
Location
Apopka, FL, USA
LIC ID
12379
Current License Expiration Date
31/05/2025
Original Date
14/11/2023
Professional Rank Code
ND
Effective Date
14/11/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
6101 LAKE ELLENOR DRIVE
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32809
Prescribing Indicator
N
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