TERRELL L HAISLEY
Medical Practice at 105 Ter, Parrish, FL

License number
Florida 520572
Issued Date
Dec 27, 2007
Effective Date
Oct 26, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
5418 105Th Ter E, Parrish, FL 34219
1660 Ringling Blvd, Sarasota, FL 34236
Phone
(941) 780-2443
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Terrell Haisley, age 37
3140 12Th Ave E, Bradenton, FL 34208

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