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Mary
Mary
Monta
Clinical laboratory personnel
Leesburg, United States
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Florida Health Care Practitioner Data Portal
Full name
MARY MONTA
Job Title
Clinical Laboratory Personnel
Location
Leesburg, FL, USA
LIC ID
21838
Current License Expiration Date
31/08/2024
Original Date
26/11/1990
Professional Rank Code
SU
Effective Date
01/07/1998
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LAKE
Practice Location Address Line 1
1000 WATERMAN WAY
Practice Location Address City
TAVARES
Practice Location Address State
FL
Practice Location Address Zipcode
32778
Mode Code
Microbiology Supervisor, Serology Supervisor, Clinical Chemistry Supervisor, Hematology Supervisor, Immunohematology Supervisor, Molecular Pathology Supervisor
Prescribing Indicator
N
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