License holder summary

LISA MARIE COUNCILMAN-GONZALES is a Department Of Health - Medical Doctor licensed to practice in Florida. The address on file for LISA MARIE COUNCILMAN-GONZALES is 1810 ALTERNATE 19 SOUTH, SUITE N, TARPON SPRINGS, FL 34689. This doctor license is not current. The license was granted 07/01/1997 and expired on 01/31/2005.

Florida

Florida Board of Medicine

LISA MARIE COUNCILMAN-GONZALES
Department Of Health - Medical Doctor
License number
ME88147
Date granted
07/01/1997
Date expires
01/31/2005
Class
Department Of Health - Medical Doctor
Status
Relinquished
Address
1810 ALTERNATE 19 SOUTH, SUITE N, TARPON SPRINGS, FL 34689
doctorsflorida.org
ID 21636363
LAST UPDATED 2024-03-06 00:14:44 UTC

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