CARL P ANTONISEN
Radiology at Montez Loop, Lady Lake, FL

License number
Florida 85653
Issued Date
Dec 23, 2013
Effective Date
Dec 23, 2013
Expiration Date
Jun 30, 2017
Category
Health Care
Type
Radiologic Technology
Address
Address
1410 Montez Loop, Lady Lake, FL 32159
Phone
(352) 205-2447
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Carl Antonisen
1410 Montez Loop, Lady Lake, FL 32159
Carl Antonisen
1410 Montez Loop, Lady Lake, FL 32159

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