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Vineesh
Vineesh
Jose lisamma
Clinical laboratory personnel
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
Vineesh Jose Lisamma
Job Title
Clinical Laboratory Personnel
Location
Jacksonville, FL, USA
Title
MLS
LIC ID
51607
Current License Expiration Date
31/08/2024
Original Date
29/01/2019
Professional Rank Code
TN
Effective Date
29/01/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
14059 Corrine Circle
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32258
Mode Code
Microbiology Technologist, Serology Technologist, Clinical Chemistry Technologist, Hematology Technologist, Immunohematology Technologist
Prescribing Indicator
N
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