Florida
Polk
Winter Haven
Otolaryngology
canceled
G27880
male
1969
medical activities:
no activities identified
license issued on August 25, 1974;
Ear, Nose and Throat
Specialist for: Otolaryngology
Northwestern University Medical School (graduated in 1969)
Graduated in year 1969, Medical School: Northwestern University Medicine School, Chicago, IL 60611
Heart of Florida Regional Medical Center
South Lake Hospital
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Profile ID: FRUS-MDS-P-111132