WALLACE R WEBURG
Medical Practice at Sumac Ct, Melbourne, FL

License number
Florida 15634
Issued Date
Jul 28, 1980
Effective Date
Oct 4, 1996
Expiration Date
Jun 30, 1988
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
1498 Sumac Ct NE, Melbourne, FL 32905
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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