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Maryuri
Maryuri
Cannon
Medical doctor
Student in an organized health c...
Jacksonville,
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Maryuri Cannon
Job Title
Resident Registration
License Number
TRN30674
License Status
Clear/Active
License Issue Date
21/05/2020
License Expiry Date
30/06/2024
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
Maryuri Cannon
Job Title
Medical Doctor
Location
Jacksonville, FL, USA
LIC ID
165999
Current License Expiration Date
31/01/2025
Original Date
22/02/2023
Professional Rank Code
ME
Effective Date
22/02/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
841 Prudential Drive
Practice Location Address Line 2
Suite 1130
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32207
Mode Code
NICA Exempt, In Training Program Receives Fee Reducti
Prescribing Indicator
N
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