License holder summary

FORMANEK, KELLY JEAN is a Health Services - Certified Emergency Medical Technician Intermediate (Emt I) licensed to practice in Texas. The address on file for FORMANEK, KELLY JEAN is BLANCO , TX BLANCO 78606 US.

Texas

Texas Medical Board

FORMANEK, KELLY JEAN
Health Services - Certified Emergency Medical Technician Intermediate (Emt I)
License number
96349
Date expires
08/31/1990
Class
Health Services - Certified Emergency Medical Technician Intermediate (Emt I)
Status
Expired
Address
BLANCO , TX BLANCO 78606 US
texasmedics.org
ID 48638339
LAST UPDATED 2024-04-20 23:52:15 UTC

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