LANE W PARK
Medical Practice at 178 Ter, Miami, FL

License number
Florida 12447
Issued Date
Aug 11, 1972
Effective Date
Sep 19, 2002
Expiration Date
Jun 30, 2000
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
7604 SW 178Th Ter, Miami, FL 33157
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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