SAMUEL A VAN ORNAM
Medical Practice at Forgal St, Fort Pierce, FL

License number
Florida 549883
Issued Date
Aug 17, 2015
Effective Date
Nov 4, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
801 SE Forgal St, Fort Pierce, FL 34983
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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