ANTAWN A SOUFFRANT
Medical Practice at Alta Rd, Peoria, IL

License number
Florida 541693
Issued Date
Feb 8, 2013
Effective Date
Dec 2, 2016
Expiration Date
Dec 1, 2016
Category
Health Care
Type
Emergency Medical Technician
Address
Address
2401 W Alta Rd, Peoria, IL 61615
Phone
(954) 774-8892