1FVABPBW12HJ78002
Vehicle Board in Florida

License number
Florida 12565
Issued Date
May 24, 2004
Effective Date
Mar 26, 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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