ISA R MOULTRIE
Medical Practice at Saratoga Rd, Charleston Afb, SC

License number
Florida 44327
Issued Date
Mar 13, 2012
Effective Date
Feb 18, 2016
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
2724 Saratoga Rd, Charleston Afb, SC 29405
Phone
(817) 703-6339
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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