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Patricia
Patricia
Faussett beverly
Clinical laboratory personnel
Corryton, United States
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Florida Health Care Practitioner Data Portal
Full name
PATRICIA FAUSSETT BEVERLY
Job Title
Clinical Laboratory Personnel
Location
Corryton, TN, USA
LIC ID
58325
Current License Expiration Date
31/08/2024
Original Date
06/10/2022
Professional Rank Code
TN
Effective Date
06/10/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
7202 Bethesda Springs Way
Practice Location Address City
CORRYTON
Practice Location Address State
TN
Practice Location Address Zipcode
37721
Mode Code
Microbiology Technologist
Prescribing Indicator
N
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