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Shamsul
Shamsul
Alam
Medical doctor
Bentonville, United States
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••••••@kidneyclinic.net
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
SHAMSUL ALAM
Job Title
Medical Doctor
Location
Bentonville, AR, USA
LIC ID
126250
Current License Expiration Date
31/01/2025
Original Date
30/09/2016
Professional Rank Code
ME
Effective Date
30/09/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
2618 SE J street, Suite 2
Practice Location Address City
BENTONVILLE
Practice Location Address State
AR
Practice Location Address Zipcode
72712
Prescribing Indicator
N
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