RANDY J BRACK
Medical Practice at Myrtle Lk Ave, Fruitland Park, FL

License number
Florida 308318
Issued Date
Jun 25, 2003
Effective Date
Aug 23, 2007
Expiration Date
Dec 1, 2006
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1704 Myrtle Lake Ave, Fruitland Park, FL 34731
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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