ATIM N ITIAT
Nursing at 12 Ave, Jacksonville, FL

License number
Florida 704091
Issued Date
Jun 20, 1983
Effective Date
Aug 13, 2001
Expiration Date
Jul 31, 1999
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
9164 12Th Ave, Jacksonville, FL 32208
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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