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N= 035626
~tliis (Qrrlifirs that
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has~it filled tie rryuitinrtrnts of Chapter 458, Florida Statutes, gourrnuEg the ptncctice °f
medicine and is hmrb}? ctnirfied to practice
TCTT[r
.i ~~.i in foie State of tFlorida.
t _
'
/S 1~, ~a ~iTness ~Elet troE, wr 6asr~fireunto sub crilxd our names and of
jir~d dit Stul o~ dit'Board o/
~ ~ f,~ ~ l~ital ~rwnintrs this dayo/ _ :~'D.. rg
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i ~/Yly!'~, ~I~
To the Ckrt of the Cucurt Coup of - - t - C County. 1 -Ll~!`c'^^ ~ bra H bf
y~ of courm KA.tt: _
~11L~-1s~.~x CiµG . eorn,at _ ~ cR~Fr, N`' on the _ ~`~~ti-al" 9 ~7SF6
day of ~ grx!uatod a, - _ siC `~•r ~~,~-'c.~ l/itLL`~a _ _ N/ Fti..•.tr~/ !t
't mil- - • stFntc-Tcoutr.~.
who. E[rllg duly swam. says. I am the person named m the foRgoing CMificait. and sm the lawful p~xsessor of same. I have. betorc
(t rece~nng this Certificate. complxd wM all sututory n~quuements goserntog the pracuce of medkme: that no rttoney has Even pad far
such Certificate. eccept the regular tee plaid by all applicants, and that no fraud. mrsreprcxntatinn. isuke m any material regard was
employed by anyone. or occurred in order that such Cenificate should be granted. /
Signed - - - - ~`'atlw-ate _ fit v
! Couny of - - Ut-t E - ~ ll`"'~~''~~ .
F~'~~oA
State o1 - - - - - -
t-.-~i
Signed and swum to Ettote me this _ . _ ~ _ _ . _ day of _ - ~ E C E y 9 E ' - . l9 ~ _
_ 'i"~.
4 Srgnuure of Officer ~ -~r`Y`'` / r~
•
STATE OF FLORICa 1. i ~ ~ _E'il I3tS__ . Ckrk of the Circuit Coon it ~ aM
County of _ _ ~ - _ - - _ _ . _ _ County. do certdy that _ _ _ - : • ~ ~j
of . _ S ~
C t r1 E' . - has dtts.' ~ it
day repstertd the foregang Cernficate and affdarit in my office. ~ ~
WETNESS: My hand aed the seal of sad Circuit Coup at
~ •i aW.•t oE~ _ ~ Y .
;
P QECC= 0:.:~2 r'Ci' 1j'~+:, %f't/ ly. , ~e/ .
Doc tl 10 to RM'79 - - c~ ~ tf-,~ f -
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