SHAWN C STACKHOUSE
Medical Practice at Lawton Ave, Venice, FL

License number
Florida 519411
Issued Date
Sep 18, 2007
Effective Date
Sep 18, 2007
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
5185 Lawton Ave, Venice, FL 34288
17350 Nalle Rd, Fort Myers, FL 33917
Phone
(941) 628-2061
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Shawn Stackhouse, age 42
5185 Lawton Ave, North Port, FL 34288

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