License Verification

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Lake County Board of County Commissioners

License Number: ALS10007

Data As Of 11/22/2024

Profession
EMS Service Provider (ALS)
License
ALS10007
License Status
CLEAR/
Qualifications
Transport
License Expiration Date
7/22/2026
License Original Issue Date
07/23/2018
Address of Record
315 West Main Street
Suite 144
TAVARES, FL 32778
Discipline on File
No
Address
1 Cassady Street
UMATILLA, FL 32784
Address
702 S. Grove Street
EUSTIS, FL 32726
Address
3714 Rogers Industrial Park Road
OKAHUMPKA, FL 34762
Address
2014 Griffin Road
LEESBURG, FL 34748
Address
201 S. Canal Street
LEESBURG, FL 34748
Address
306 W. Hermosa
LADY LAKE, FL 32159
Address
23023 SR 40
ASTOR, FL 32102
Address
1300 N. Donnelly Street
MOUNT DORA, FL 32757
Address
11630 Lakeshore Drive
CLERMONT, FL 34711
Address
1720 Lane Park Cutoff Road
TAVARES, FL 32778
Address
193 Cherry Valley Trail
GROVELAND, FL 34736
Address
506 W. Berckman
FRUITLAND PARK, FL 34731
Address
16240 CR 474
CLERMONT, FL 34711
Address
19212 SR44
MOUNT DORA, FL 32726
Address
26201 SR44
EUSTIS, FL 32726
Address
17105 Porter Avenue
MONTVERDE, FL 34756
Address
4300 CR 19A
MOUNT DORA, FL 32757
Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
1FD0X4GN0NEG46214 Permit Vehicle Permit (ALS) 26156 7/22/2024
1FD0X4GN1PED21848 Permit Vehicle Permit (ALS) 26158 7/22/2024
1FD0X4GN3NEG46210 Permit Vehicle Permit (ALS) 26152 7/22/2024
1FD0X4GN5NEG46211 Permit Vehicle Permit (ALS) 26153 7/22/2024
1FD0X4GN7NEG46212 Permit Vehicle Permit (ALS) 26154 7/22/2024
1FD0X4GN9NEG46213 Permit Vehicle Permit (ALS) 26155 7/22/2024
1FD0X4GNXPED21847 Permit Vehicle Permit (ALS) 26157 7/22/2024
1FD0X4HN0PEC72978 Permit Vehicle Permit (ALS) 26151 7/22/2024
1FD0X4HN1RED52017 Permit Vehicle Permit (ALS) 26160 7/22/2024
1FD0X4HNXRED52016 Permit Vehicle Permit (ALS) 26159 7/22/2024
1FDOX4GN2NEC37843 Permit Vehicle Permit (ALS) 24301 4/29/2022
1FDOX4GN4NEC37844 Permit Vehicle Permit (ALS) 24302 4/29/2022
1FDOX4GN7NEC95950 Permit Vehicle Permit (ALS) 24303 4/29/2022
1FDOX4GN9NEC28492 Permit Vehicle Permit (ALS) 24299 4/29/2022
1FDOX4GNONEC28493 Permit Vehicle Permit (ALS) 24300 4/29/2022
1FDOX4HN4PEC62012 Permit Vehicle Permit (ALS) 26337 9/6/2024
1FDOX4HN9PED17982 Permit Vehicle Permit (ALS) 26338 9/6/2024
1FDOX4HNONEC18772 Permit Vehicle Permit (ALS) 24298 4/29/2022
1FDRF3GT1GEC72928 Permit Vehicle Permit (ALS) 21659 7/24/2018
1FDRF3GT1GEC72931 Permit Vehicle Permit (ALS) 21671 7/24/2018
1FDRF3GT4FEC82075 Permit Vehicle Permit (ALS) 21643 7/24/2018
1FDRF3GTXGEC72930 Permit Vehicle Permit (ALS) 23387 12/30/2020
1FDUF4GN1LDA07038 Permit Vehicle Permit (ALS) 23308 11/20/2020
1FDUF4GN2LDA07033 Permit Vehicle Permit (ALS) 23304 11/19/2020
1FDUF4GN4LDA07034 Permit Vehicle Permit (ALS) 23306 11/19/2020
1FDUF4GN6LDA07035 Permit Vehicle Permit (ALS) 23302 11/19/2020
1FDUF4GN8LDA07036 Permit Vehicle Permit (ALS) 23309 11/20/2020
1FDUF4GNOLDA07032 Permit Vehicle Permit (ALS) 23303 11/19/2020
1FDUF4GNXLDA07037 Permit Vehicle Permit (ALS) 23305 11/19/2020
1FDUF4GT0KDA07450 Permit Vehicle Permit (ALS) 22266 6/14/2019
1FDUF4GT2KDA07451 Permit Vehicle Permit (ALS) 22267 6/14/2019
1FDUF4GT3GEA85187 Permit Vehicle Permit (ALS) 21648 7/24/2018
1FDUF4GT3GEC72932 Permit Vehicle Permit (ALS) 21661 7/24/2018
1FDUF4GT3HED45850 Permit Vehicle Permit (ALS) 21673 7/24/2018
1FDUF4GT3HEE07599 Permit Vehicle Permit (ALS) 21622 7/23/2018
1FDUF4GT3KDA03778 Permit Vehicle Permit (ALS) 22264 6/14/2019
1FDUF4GT3KDA10990 Permit Vehicle Permit (ALS) 22268 6/14/2019
1FDUF4GT5KDA03779 Permit Vehicle Permit (ALS) 22263 6/14/2019
1FDUF4GT7FEA16792 Permit Vehicle Permit (ALS) 21642 7/24/2018
1FDUF4GT7GED47907 Permit Vehicle Permit (ALS) 21662 7/24/2018
1FDUF4GT7HED45849 Permit Vehicle Permit (ALS) 21672 7/24/2018
1FDUF4GT7MDA02491 Permit Vehicle Permit (ALS) 23954 9/17/2021
1FDUF4GT9GEA04399 Permit Vehicle Permit (ALS) 21650 7/24/2018
1FDUF4GTXKDA07701 Permit Vehicle Permit (ALS) 23769 6/14/2021
1FDUF4HN5LEC64180 Permit Vehicle Permit (ALS) 24508 9/9/2022
1FDUF4HTHKDA03786 Permit Vehicle Permit (ALS) 22269 6/14/2019
1FVACYCY3EHFT4816 Permit Vehicle Permit (ALS) 21668 7/24/2018
1FVACYCY4GHHD3081 Permit Vehicle Permit (ALS) 21653 7/24/2018
1FVACYCY5EHFT4818 Permit Vehicle Permit (ALS) 21638 7/24/2018
1FVACYCY5HHHD3155 Permit Vehicle Permit (ALS) 21670 7/24/2018
1FVACYCY7EHFT4817 Permit Vehicle Permit (ALS) 21637 7/24/2018
1FVACYCY7HHHD3156 Permit Vehicle Permit (ALS) 22018 1/30/2019
1FVACYCY9HHHD3157 Permit Vehicle Permit (ALS) 21657 7/24/2018
1FVACYFE4KHKH5596 Permit Vehicle Permit (ALS) 22017 1/30/2019
1FVDCYBS7DHBW9565 Permit Vehicle Permit (ALS) 21636 7/24/2018
1FVDCYFE6LHLR2115 Permit Vehicle Permit (ALS) 22872 3/25/2020
1GB4CYEYOJF254610 Permit Vehicle Permit (ALS) 22127 3/29/2019
1HTMKAZR17H385201 Permit Vehicle Permit (ALS) 21601 7/23/2018
1HTMKAZR37H385202 Permit Vehicle Permit (ALS) 21597 7/23/2018
1HTMKAZR77H385199 Permit Vehicle Permit (ALS) 21596 7/23/2018
1HTMKAZRX7H385200 Permit Vehicle Permit (ALS) 21595 7/23/2018
1HTWEAZR39J078494 Permit Vehicle Permit (ALS) 21603 7/23/2018
1HTWEAZR49J172514 Permit Vehicle Permit (ALS) 21611 7/23/2018
1HTWEAZR78J635163 Permit Vehicle Permit (ALS) 21599 7/23/2018
1HUDF4GT6HED45857 Permit Vehicle Permit (ALS) 23770 6/14/2021
1S9A1BLD031003028 Permit Vehicle Permit (ALS) 21635 7/24/2018
1S9A1BND4N1003081 Permit Vehicle Permit (ALS) 24485 8/24/2022
1S9A1BND7L1003007 Permit Vehicle Permit (ALS) 23012 6/5/2020
3GCDKNEC5HG372954 Permit Vehicle Permit (ALS) 25051 5/8/2023
3HTMKAZR78N633183 Permit Vehicle Permit (ALS) 21615 7/23/2018
41BAAFF0LB021843 Permit Vehicle Permit (ALS) 23127 8/19/2020
43N6AAA89G1000309 Permit Vehicle Permit (ALS) 21656 7/24/2018
4EN3AAA8831006910 Permit Vehicle Permit (ALS) 21675 7/25/2018
4EN6AAA8061001878 Permit Vehicle Permit (ALS) 21676 7/25/2018
4EN6AAA80C1007272 Permit Vehicle Permit (ALS) 21631 7/24/2018
4EN6AAA81E1008675 Permit Vehicle Permit (ALS) 21639 7/24/2018
4EN6AAA8461001186 Permit Vehicle Permit (ALS) 21628 7/23/2018
4EN6AAA86R1005387 Permit Vehicle Permit (ALS) 26339 9/6/2024
4EN6AAA8961001877 Permit Vehicle Permit (ALS) 21677 7/25/2018
4EN6AAA8X41008768 Permit Vehicle Permit (ALS) 24287 4/18/2022
4EN6AAA8XK1002109 Permit Vehicle Permit (ALS) 22603 10/31/2019
4ENRAAA8281003454 Permit Vehicle Permit (ALS) 21593 7/23/2018
4ENRAAA8331006095 Permit Vehicle Permit (ALS) 21679 7/25/2018
4P1BAAFF0MB023462 Permit Vehicle Permit (ALS) 24127 12/17/2021
4P1BAAFF0RB026470 Permit Vehicle Permit (ALS) 26162 7/22/2024
4P1BAAFF1RB026493 Permit Vehicle Permit (ALS) 26161 7/22/2024
4P1BAAFF2MA023133 Permit Vehicle Permit (ALS) 24013 10/19/2021
4P1BAAFF3HA017928 Permit Vehicle Permit (ALS) 21669 7/24/2018
4P1BAAFF3MB022180 Permit Vehicle Permit (ALS) 23312 11/20/2020
4P1BAAFF3NB024870 Permit Vehicle Permit (ALS) 25052 5/8/2023
4P1BAAFF3NB024871 Permit Vehicle Permit (ALS) 26496 11/5/2024
4P1BAAFF5MB022181 Permit Vehicle Permit (ALS) 23313 11/20/2020
4P1BAAFF6PA025438 Permit Vehicle Permit (ALS) 25494 9/28/2023
4P1BAAFF7MB022179 Permit Vehicle Permit (ALS) 23594 3/19/2021
4P1BAAFF8HA017780 Permit Vehicle Permit (ALS) 21665 7/24/2018
4P1BAAFF8LA020803 Permit Vehicle Permit (ALS) 26495 11/5/2024
4P1BAAFF9GA016281 Permit Vehicle Permit (ALS) 21652 7/24/2018
4P1BAAFF9HA017352 Permit Vehicle Permit (ALS) 21663 7/24/2018
4P1BAAFF9MA023503 Permit Vehicle Permit (ALS) 24126 12/17/2021
4P1BAAFF9MB023463 Permit Vehicle Permit (ALS) 24128 12/17/2021
4P1BAAFFXHA017781 Permit Vehicle Permit (ALS) 21666 7/24/2018
4P1BAHFF4FA014736 Permit Vehicle Permit (ALS) 21640 7/24/2018
4P1BBAFF0KA020504 Permit Vehicle Permit (ALS) 22273 6/20/2019
4P1BBAGF3HA018086 Permit Vehicle Permit (ALS) 21617 7/23/2018
4P1BCAFF3PA025780 Permit Vehicle Permit (ALS) 25693 12/22/2023
4P1BCAFF4KA020063 Permit Vehicle Permit (ALS) 22128 3/29/2019
4P1BCAGF0MA023284 Permit Vehicle Permit (ALS) 24014 10/19/2021
4P1BCAGF2GA016146 Permit Vehicle Permit (ALS) 21654 7/24/2018
4P1BCAGFXPA025290 Permit Vehicle Permit (ALS) 25267 8/15/2023
4P1CC01A87A007477 Permit Vehicle Permit (ALS) 24288 4/18/2022
4P1CE01A0AA010455 Permit Vehicle Permit (ALS) 21608 7/23/2018
4P1CE01AX7A007815 Permit Vehicle Permit (ALS) 21600 7/23/2018
4P1CE01T38A008291 Permit Vehicle Permit (ALS) 21678 7/25/2018
54F2AB712FWM10985 Permit Vehicle Permit (ALS) 21651 7/24/2018
54F2AB719HWM11912 Permit Vehicle Permit (ALS) 21619 7/23/2018
54F2FBWT5PWM13420 Permit Vehicle Permit (ALS) 25582 11/7/2023

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.