1FVACWAK04HM55893
Vehicle Board in Florida

License number
Florida 12957
Issued Date
Jan 24, 2005
Effective Date
Jun 14, 2006
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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