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Case Number and Status

Case Number: I-200-16069-671353

Submitted on:

CERTIFIED

on:

Employment

From: 2016-09-13

To: 2019-09-12 (1,094 days)

Address

121 Griffin View Drive
Lady Lake, FL 32159

Phone

3522593636


Attorney Summary

Location
Owings Mills, MD

Job Summary

Job Title
Periodontist
City and State
Lady Lake, FL
County
Lake

Soc Code
29-1021.00
Naics Code
Industry Code
6212