JASON D FAIRCLOTH
Medical Practice at Houston St, Lakeland, FL

License number
Florida 524886
Issued Date
Jan 21, 2009
Effective Date
Jan 21, 2009
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
620 Houston St, Lakeland, FL 33813
Phone
(863) 944-2854
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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