1FVABXBS83DM05661
Vehicle Board in Florida

License number
Florida 12495
Issued Date
Apr 5, 2004
Effective Date
Apr 24, 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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