BRYAN D VAILLANCOURT
Radiology at Mango St, Lake Worth, FL

License number
Florida 82163
Issued Date
May 3, 2012
Effective Date
Oct 1, 2016
Expiration Date
Jul 31, 2013
Category
Health Care
Type
Radiologic Technology
Address
Address
710 W Mango St APT B, Lake Worth, FL 33462
Phone
(561) 543-1898
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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