1FDWF36P13EB57327
Vehicle Board in Florida

License number
Florida 12652
Issued Date
Jul 19, 2004
Effective Date
Oct 3, 2008
Category
Health Care
Type
Vehicle Permit (ALS)
Address
Address
Florida
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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