GRANT D LASSETER
Medical Practice at Poinciana Pl, Hollywood, FL

License number
Florida 507808
Issued Date
Nov 19, 2004
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
9480 Poinciana Pl #303, Hollywood, FL 33324
Phone
(954) 818-4727
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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