JULIANA MELODY FORT
Department Of Health - Medical Doctor
Florida ME107875 Voided
This Florida license was held by JULIANA MELODY FORT. The license is no longer active. It was granted on 07/01/1986 and expired on 01/31/2012
LICENSE DETAILS
- License Number: ME107875
- Category: Medical Doctor
- Status: Voided
- Date Granted: 07/01/1986 (almost 39 years ago)
- Expiry Date: 01/31/2012 (about 13 years ago)
LOCATIONS
A Primary Practice Address
761B MIDDLE STREET, FAIRHOPE, AL 36532