SALLY A SAMPLE
Medical Practice in Kingsley Lake, FL

License number
Florida 63321
Issued Date
Nov 9, 1992
Effective Date
Feb 16, 2004
Expiration Date
Jan 31, 2002
Category
Health Care
Type
Medical Doctor
Address
Address
1550 S Waters St, Kingsley Lake, FL 32091
Phone
(904) 964-4310
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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