1FDXE45P44HA78362
Vehicle Board in Florida

License number
Florida 12794
Issued Date
Sep 24, 2004
Effective Date
Jun 2, 2009
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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