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Madelyn
Madelyn
Black
Clinical laboratory personnel
Pensacola, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
Madelyn Black
Job Title
Clinical Laboratory Personnel
Location
Pensacola, FL, USA
LIC ID
51076
Current License Expiration Date
31/08/2024
Original Date
06/07/2018
Professional Rank Code
SU
Effective Date
06/07/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ESCAMBIA
Practice Location Address Line 1
6931 Falcon Drive
Practice Location Address City
PENSACOLA
Practice Location Address State
FL
Practice Location Address Zipcode
32526
Mode Code
Histology Supervisor
Prescribing Indicator
N
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