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Malise
Malise
Novotny
Registered nurse
Bonita Springs, United States
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Profile Summary
Full name
Malise Novotny
Job Title
Registered Nurse
Location
Fort Myers, Florida, United States
Company Name
Florida Cancer Specialists & Research Institute
Florida Health Care Practitioner Data Portal
Full name
MALISE NOVOTNY
Job Title
Registered Nurse
Location
Bonita Springs, FL, USA
LIC ID
327920
Current License Expiration Date
30/04/2025
Original Date
15/11/2005
Professional Rank Code
RN
Effective Date
04/06/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LEE
Practice Location Address Line 1
9776 BONITA BEACH ROAD
Practice Location Address City
BONITA SPRINGS
Practice Location Address State
FL
Practice Location Address Zipcode
34135
Mode Code
Single-state License
Prescribing Indicator
N
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