1S9A1BBD1S1003054
Vehicle Board in Florida

License number
Florida 12239
Issued Date
Nov 5, 2003
Effective Date
Feb 10, 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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