Tracy Letts was 21 in Paramedics when he played the character 'Van Owner'.
That was over 36 years ago in 1988.
This was his first recorded movie acting credit (although may not technically be his first actual acting role).
Today he is 58, and has starred in 22 movies in total, 20 of those since Paramedics was released.
In Paramedics, I think Tracy Letts looks: