STEPHEN R THEISEN
Medical Practice at Wisconsin Ave, Orange City, FL

License number
Florida 522820
Issued Date
Jul 23, 2008
Effective Date
Jun 17, 2011
Expiration Date
Dec 1, 2010
Category
Health Care
Type
Emergency Medical Technician
Address
Address
860 E Wisconsin Ave, Orange City, FL 32763
Phone
(386) 547-0101
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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