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Maricarmen
Maricarmen
Lopez-pena
Medical doctor
Slingerlands, United States
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Florida Health Care Practitioner Data Portal
Full name
Maricarmen Lopez-Pena
Job Title
Medical Doctor
Location
Slingerlands, NY, USA
LIC ID
168898
Current License Expiration Date
31/01/2025
Original Date
05/07/2023
Professional Rank Code
ME
Effective Date
05/07/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
Apt. 102
Practice Location Address Line 1
1131 N 35 Ave
Practice Location Address City
HOLLYWOOD
Practice Location Address State
FL
Practice Location Address Zipcode
33021
Prescribing Indicator
N
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