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Licenses
Medical Practice
Florida
530654
MICHAEL P ILLUM
Medical Practice at Braman Ave, Fort Myers, FL
License number
Florida 530654
Issued Date
Apr 9, 2010
Effective Date
Jun 15, 2013
Expiration Date
Dec 1, 2012
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1422 Braman Ave, Fort Myers, FL 33901
Personal information
See more information about
MICHAEL P ILLUM at radaris.com
Name
Address
Phone
Michael P Illum
, age
48
19227 Vintage Trace Cir, Fort Myers, FL 33912
(941) 489-0702
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