NEILL D LAKE
Medical Practice at 14 Ct, Hollywood, FL

License number
Florida 525376
Issued Date
Feb 17, 2009
Effective Date
Dec 2, 2016
Expiration Date
Dec 1, 2016
Category
Health Care
Type
Emergency Medical Technician
Address
Address
11220 NW 14Th Ct, Hollywood, FL 33026
Phone
(954) 821-9315
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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