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Shanna
Shanna
Green
Student in an organized health c...
Registered nurse
Lake City,
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Florida Health Care Practitioner Data Portal
Full name
Shanna Green
Job Title
Registered Nurse
Location
Lake City, FL, USA
LIC ID
679281
Current License Expiration Date
30/04/2025
Original Date
13/04/2020
Professional Rank Code
RN
Effective Date
13/04/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
COLUMBIA
Practice Location Address Line 1
340 NW Commerce Dr
Practice Location Address City
LAKE CITY
Practice Location Address State
FL
Practice Location Address Zipcode
32055
Mode Code
Multistate Registered Nurse
Prescribing Indicator
N
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