KELLY L OUTLAW
Medical Practice at 15715 Ne 17 Ave, Kingsley Lake, FL

License number
Florida 520258
Issued Date
Nov 27, 2007
Effective Date
Nov 3, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
11081E NE 17Th Ave, Kingsley Lake, FL 32091
Phone
(904) 263-3410
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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