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Shanna
Shanna
Latka
Licensed practical nurse
Pea Ridge, United States
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Florida Health Care Practitioner Data Portal
Full name
Shanna Latka
Job Title
Licensed Practical Nurse
Location
Pea Ridge, AR, USA
LIC ID
195276
Current License Expiration Date
31/07/2025
Original Date
22/01/2019
Professional Rank Code
PN
Effective Date
22/01/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
2125 Greenway Preserve Lane
Practice Location Address Line 2
Apt # 102
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33619
Mode Code
Multistate License
Prescribing Indicator
N
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