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Licenses
Physician
Florida
Eglin AFB
Best licensed Physician in Eglin Afb, FL
Thomas William Ballard
License number
Utah 180133-1205
Address
Niceville, FL
Category
Physician
Issued Date
Nov 21, 1988
Expiration Date
Jan 31, 2018
Type
Physician & Surgeon
Thomas William Ballard
License number
Colorado 28623
Address
206 Baywind Dr, Niceville, FL 32578
Issued Date
Jan 14, 1988
Renew Date
May 1, 2015
Expiration Date
Apr 30, 2017
Type
Physician
Jonathan Scott Bassett
License number
Utah 9685638-1205
Address
Niceville, FL
Category
Physician
Issued Date
Feb 5, 2016
Expiration Date
Jan 31, 2018
Type
Physician & Surgeon
Jonathan Scott Bassett
License number
Utah 9685638-8905
Address
Niceville, FL
Category
Physician
Issued Date
Feb 5, 2016
Expiration Date
Jan 31, 2018
Type
Physician/Surgeon CS (Schedule 2-5)
Jonathan Scott Bassett
License number
Utah 9685638-8017
Address
Niceville, FL
Category
Physician
Issued Date
Feb 5, 2016
Expiration Date
Feb 5, 2017
Type
Temporary Physician & Surgeon
Jonathan Scott Bassett
License number
Utah 9685638-8018
Address
Niceville, FL
Category
Physician
Issued Date
Feb 5, 2016
Expiration Date
Feb 5, 2017
Type
Temp Physician/Surgeon Cont Substance
STEA JOHN B
License number
New York 187713
Address
Niceville, FL
Category
Physician
Issued Date
Nov 21, 1991
Type
MEDICINE
Lawrence Henry Clouse
License number
Colorado 21188
Address
Internal Medicine Clinic, Eglin, FL 32542
Issued Date
Oct 11, 1977
Renew Date
May 31, 1987
Expiration Date
May 31, 1987
Type
Physician
AYCOCK RYAN DON
License number
New York 267151
Address
Niceville, FL
Category
Physician
Issued Date
Oct 12, 2012
Type
MEDICINE
James Michael Glenn
License number
Utah 188227-8905
Address
Niceville, FL
Category
Physician
Issued Date
Aug 14, 1992
Expiration Date
Jan 31, 2018
Type
Physician/Surgeon CS (Schedule 2-5)
James Michael Glenn
License number
Colorado 51086
Address
99 Bahia Vista Dr, Niceville, FL 32578
Issued Date
Apr 6, 2012
Renew Date
May 1, 2015
Expiration Date
Apr 30, 2017
Type
Physician
Joseph Anthony Harasimowicz, JR
License number
Colorado 35439
Address
PO Box 779, Shalimar, FL 32579
Issued Date
Jul 11, 1996
Renew Date
May 31, 1999
Expiration Date
May 31, 1999
Type
Physician
Mary Frances Hart
License number
Florida C1-0004095
Address
2
Niceville, FL 32588
Category
Medical Practice
Issued Date
Jun 1, 1993
Expiration Date
Mar 31, 2003
Type
Physician M.D.
Alexander Valentine Hernandez
License number
Colorado 34915
Address
301 Mulberry Ct, Niceville, FL 32578
Issued Date
Nov 9, 1995
Renew Date
Jun 1, 2011
Expiration Date
Apr 30, 2013
Type
Physician
Eric Wayne Kaderbek
License number
Colorado 49666
Address
721 Persimmon Way, Niceville, FL 32578
Issued Date
Feb 4, 2011
Renew Date
Feb 4, 2011
Expiration Date
Apr 30, 2013
Type
Physician
DAVID MENDOZA
License number
Florida 18887
Address
2
2725 Edgewater Dr, Niceville, FL 32578
700 6Th St S, Saint Petersburg, FL 33701
Category
Health Care
Issued Date
May 20, 2013
Effective Date
Jul 24, 2015
Expiration Date
Jun 30, 2015
Type
Registration for Resident/HSE Physician
Stanley George Rosenblatt
License number
Colorado 30582
Address
1701 Narrow Creek Cv, Niceville, FL 32578
Issued Date
Oct 11, 1990
Renew Date
Jun 1, 2011
Expiration Date
Apr 30, 2013
Type
Physician
Robert Terrence Sullivan
License number
Colorado 46341
Address
216 Biltmore Way, Niceville, FL 32578
Issued Date
Feb 8, 2008
Renew Date
May 1, 2015
Expiration Date
Apr 30, 2017
Type
Physician
Jeff P. Vista
License number
Florida C1-0006792
Address
2
Niceville, FL 32578
Category
Medical Practice
Issued Date
Nov 19, 2002
Expiration Date
Mar 31, 2007
Type
Physician M.D.
James Mark Watson
License number
Colorado 25143
Address
1331 Windward Cir, Niceville, FL 32578
Issued Date
Jan 13, 1983
Renew Date
May 1, 2015
Expiration Date
Apr 30, 2017
Type
Physician
Other Doctors in Eglin Afb, FL licenses
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