A C BASTFIELD
Nursing at Lisand Dr, Fairport, NY

License number
Florida 3126052
Issued Date
Dec 13, 1996
Effective Date
Aug 30, 2000
Expiration Date
Jul 31, 1998
Category
Health Care
Type
Registered Nurse
Address
Address
12 Lisand Dr, Fairport, NY 14450
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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