1FDXE45F63HB19032
Vehicle Board in Florida

License number
Florida 12830
Issued Date
Oct 12, 2004
Effective Date
Aug 20, 2015
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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