TIA L CLARK
Medical Practice at 101 Ter, Hollywood, FL

License number
Florida 8563
Issued Date
Apr 25, 2011
Effective Date
Jul 3, 2012
Expiration Date
Jan 31, 2012
Category
Health Care
Type
Clinical Laboratory Trainee
Address
Address
1255 SW 101St Ter, Hollywood, FL 33025
Phone
(954) 348-3683
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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