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Randy
Randy
Lichtman
Dental teaching permits
Fort Lauderdale, United States
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Florida Health Care Practitioner Data Portal
Full name
RANDY LICHTMAN
Job Title
Dental Teaching Permits
Location
Fort Lauderdale, FL, USA
LIC ID
579
Original Date
26/08/2020
Professional Rank Code
DTP
Effective Date
26/08/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BROWARD
Mailing Address Line 2
NOVA SOUTHEASTERN UNIVERSITY
Practice Location Address Line 1
3301 COLLEGE AVENUE
Practice Location Address Line 2
NOVA SOUTHEASTERN UNIVERSITY
Practice Location Address City
FORT LAUDERDALE
Practice Location Address State
FL
Practice Location Address Zipcode
33314
Prescribing Indicator
N
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