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Rizwana
Rizwana
Thanawala
Medical doctor
Organization
Lake City, United States
Profile Privacy
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•••••@aol.com
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
RIZWANA THANAWALA
Job Title
Medical Doctor
Location
Lake City, FL, USA
LIC ID
62304
Current License Expiration Date
31/01/2026
Original Date
27/08/1996
Professional Rank Code
ME
Effective Date
01/01/1901
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
COLUMBIA
Practice Location Address Line 1
4367 NW AMERICAN LANE
Practice Location Address City
LAKE CITY
Practice Location Address State
FL
Practice Location Address Zipcode
32055
Prescribing Indicator
N
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