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Moesha
Moesha
Revange
Licensed practical nurse
Orlando, United States
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Florida Health Care Practitioner Data Portal
Full name
Moesha Revange
Job Title
Licensed Practical Nurse
Location
Orlando, FL, USA
LIC ID
223569
Current License Expiration Date
31/07/2025
Original Date
15/02/2023
Professional Rank Code
PN
Effective Date
15/02/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Mailing Address Line 2
apt 2329
Practice Location Address Line 1
12100 Sterling University Lane
Practice Location Address Line 2
apt 2329
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32826
Mode Code
Multistate License
Prescribing Indicator
N
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