THOMAS B BALLOU
Medical Practice at 38 St, Fort Lauderdale, FL

License number

Florida 306465

Issued Date

Dec 19, 2002

Effective Date

Sep 26, 2016

Expiration Date

Dec 1, 2018

Category

Health Care

Type

Emergency Medical Technician

Address

Address

271 NE 38Th St APT C-104, Fort Lauderdale, FL 33334

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