LARRY E SHALLAR, III
Medical Practice at Abigail Ln, Lake City, FL

License number
Florida 549662
Issued Date
Jul 23, 2015
Effective Date
Sep 29, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
142 NW Abigail Ln, Lake City, FL 32055
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Larry Shallar, age 52
1048 SE Weeks Ln, Lake City, FL 32025
Larry E Shallar
1428 Putnam St, Lake City, FL 32025
Larry E Shallar, age 53
516 Country Club Rd, Lake City, FL 32025

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