Philip van Lalog

Radiologic technology

Naples, United States

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Full name

PHILIP VAN LALOG

Job Title

Radiologic Technology

Location

Naples, FL, USA

LIC ID

70053

Current License Expiration Date

31/05/2024

Original Date

01/05/2006

Professional Rank Code

CRT

Effective Date

09/12/2022

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

COLLIER

Practice Location Address Line 1

1000 IMMOKALEE RD.

Practice Location Address City

NAPLES

Practice Location Address State

Practice Location Address Zipcode

34110

Mode Code

General Radiographer

Prescribing Indicator

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