CHANSOUK R INTHANAM
Medical Practice at 255 Ter, Homestead, FL

License number
Florida 28679
Issued Date
Dec 1, 1989
Effective Date
May 11, 1998
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
13234 SW 255Th Ter, Homestead, FL 33032
3100 SW 62Nd Ave, Miami, FL 33155
Phone
(305) 258-2487
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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