JASON M FORTIER
Medical Practice at Golden Gate Blvd, Polk City, FL

License number
Florida 525725
Issued Date
Mar 17, 2009
Effective Date
Jun 17, 2011
Expiration Date
Dec 1, 2010
Category
Health Care
Type
Emergency Medical Technician
Address
Address
9119 Golden Gate Blvd, Polk City, FL 33868
Phone
(863) 984-1293
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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