JEREMIAH L OUTLAW
Medical Practice at Patrick Ave, Winter Haven, FL

License number
Florida 508443
Issued Date
Jan 21, 2005
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
608 Patrick Ave, Winter Haven, FL 33880
Phone
(336) 200-1538
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jeremiah Outlaw
124 7Th St NW, Winter Haven, FL 33881
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