SANTIAGO GONZALEZ
Medical Practice at 77 Ct, Miami, FL

License number
Florida 515936
Issued Date
Nov 22, 2006
Effective Date
Jun 17, 2011
Expiration Date
Dec 1, 2010
Category
Health Care
Type
Emergency Medical Technician
Address
Address
15476 NW 77Th Ct, Miami, FL 33016
Phone
(786) 356-8300
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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SANTIAGO GONZALEZ

Miami, FL

Status:
Inactive
Registration:
Feb 11, 1999
State ID:
75639300
Reg. number:
2582708
Status:
710 - Cancelled - section 8
Status date:
Mar 21, 2009
Illustration:
Typeset: Word(s)/letter(s)/number(s)
Attorney:
Harvey S. Hertz,9777 Wilshire Blvd, Beverly Hills, CA 90212
Employee:
Yong Oh Kim
Goods & Services:
Cigars, The name shown in the mark does not identify a particular living individual.
Owner:
2008 Alton Rd, Miami Beach, FL 33139

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