SHANNON R BUSH
Medical Practice at 05039 Mockingbird Ln, Fruitland Park, FL

License number
Florida 301651
Issued Date
Feb 6, 2001
Effective Date
Oct 25, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
05039 Mockingbird Ln, Fruitland Park, FL 34731
315 W Main St SUITE 411, Tavares, FL 32778
Phone
(352) 504-2670
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
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(904) 403-5324
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