1FVACWCS05HN43213
Vehicle Board in Florida

License number
Florida 12879
Issued Date
Nov 23, 2004
Effective Date
Oct 1, 2012
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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