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Patricia
Patricia
Johnson
Dental radiographer
Ceo
Tampa,
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Florida Board of Medicine
Board Name
BOARD OF DENTISTRY
Full name
Patricia Johnson
Job Title
Dental Radiographer
License Number
DR2571
License Status
Clear
License Issue Date
21/07/1981
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
PATRICIA JOHNSON
Job Title
Registered Nurse
Location
Tampa, FL, USA
LIC ID
665082
Current License Expiration Date
30/04/2025
Original Date
27/12/2019
Professional Rank Code
RN
Effective Date
27/12/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
704 E 119TH AVENUE
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33612
Mode Code
Multistate Registered Nurse
Prescribing Indicator
N
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