SU M TIN
Medical Practice at Concord Rd, Deland, FL

License number
Florida 31565
Issued Date
Dec 4, 1992
Effective Date
Jun 5, 1998
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
2625 Concord Rd, Deland, FL 32720
Phone
(386) 740-8398
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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