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Rajinikanth
Rajinikanth
Ayyathurai
Medical doctor
Oxford, United States
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Florida Health Care Practitioner Data Portal
Full name
RAJINIKANTH AYYATHURAI
Job Title
Medical Doctor
Location
Oxford, FL, USA
LIC ID
113987
Current License Expiration Date
31/01/2025
Original Date
12/12/2012
Professional Rank Code
ME
Effective Date
29/01/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SUMTER
Practice Location Address Line 1
508 N Lecanto Highway
Practice Location Address City
LECANTO
Practice Location Address State
FL
Practice Location Address Zipcode
34461
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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