THANAS G RUSSAKIS
Medical Practice at Lakeland Blvd, Fort Pierce, FL

License number

Florida 308058

Issued Date

May 27, 2003

Effective Date

Jun 17, 2009

Expiration Date

Dec 1, 2008

Category

Health Care

Type

Emergency Medical Technician

Address

Address

7401 Lakeland Blvd, Fort Pierce, FL 34951

Personal information

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Name

Address

Phone

Thanas Russakis, age 40

7401 Lakeland Blvd, Fort Pierce, FL 34951

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