LAITHAM J KELLUM, SR
Medical Practice at Colonial Dr, Cocoa Beach, FL

License number
Florida 77823
Issued Date
Feb 14, 1995
Effective Date
Nov 9, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
11 Colonial Dr, Cocoa Beach, FL 32931
Phone
(321) 544-8087
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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