Petula Davis

Massage therapist

Lauderdale Lakes, United States

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Full name

Petula Davis

Job Title

Massage Therapist

Location

Lauderdale Lakes, FL, USA

LIC ID

107738

Current License Expiration Date

31/08/2025

Original Date

16/05/2022

Professional Rank Code

Effective Date

16/05/2022

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

BROWARD

Practice Location Address Line 1

601 Fort Lauderdale Beach Blvd

Practice Location Address City

FT LAUDERDALE

Practice Location Address State

Practice Location Address Zipcode

33304

Prescribing Indicator

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