Thomas Emmanuel Pervolarakis
Moderate Sedation at San Juan St, Selfridge, MI

License number
Colorado 60
Issued Date
Sep 25, 2015
Renew Date
Sep 25, 2015
Expiration Date
Dec 23, 2015
Type
Temporary Moderate Sedation Privileges
Address
Address 2
31000 San Juan St, Selfridge, MI 48045
Selfridge, MI
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.

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