Professional Records
License Records
Phanath Tum
Address:
3345 SW Perrine St, Port Saint Lucie, FL
Phone:
(772) 408-4888
License #:
525540 - Expired
Category:
Health Care
Issued Date:
Mar 3, 2009
Effective Date:
Jun 15, 2013
Expiration Date:
Dec 1, 2012
Type:
Emergency Medical Technician