JONATHAN W FAGAN
Medical Practice at Ln Costa St, Clermont, FL

License number
Florida 524457
Issued Date
Dec 11, 2008
Effective Date
Dec 2, 2016
Expiration Date
Dec 1, 2016
Category
Health Care
Type
Emergency Medical Technician
Address
Address
734 La Costa St, Clermont, FL 34715
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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