GARY L WISE
Medical Practice at 21 Ave, Kingsley Lake, FL

License number
Florida 79392
Issued Date
Jul 18, 1995
Effective Date
Jul 6, 2015
Expiration Date
Dec 1, 2014
Category
Health Care
Type
Emergency Medical Technician
Address
Address
14275 SE 21St Ave, Kingsley Lake, FL 32091
Phone
(904) 964-8423
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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