GRANT R NICHOLS
Medical Practice at Riverside Dr, Bonita Springs, FL

License number
Florida 506388
Issued Date
Sep 14, 2004
Effective Date
Nov 1, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
27282 S Riverside Dr, Bonita Springs, FL 34135
6061 S Pointe Blvd, Fort Myers, FL 33919
Phone
(239) 913-7077
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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