L G BALLIET
Medical Practice at Lauren Ct, Casselberry, FL

License number
Florida 11923
Issued Date
Feb 4, 1968
Effective Date
Sep 17, 2012
Expiration Date
Aug 31, 2010
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
135 W Lauren Ct, Casselberry, FL 32730
7520 Commerce Ctr Dr, Orlando, FL 32819
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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