RUSSEL G CLARK, JR
Medical Practice at Carlyle Ave, Melbourne, FL

License number
Florida 500658
Issued Date
Nov 21, 2000
Effective Date
Oct 25, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
899 Carlyle Ave SE, Melbourne, FL 32909
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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