CAROLYN J WAGNER
Nursing at Harris Ave, Port Charlotte, FL

License number
Florida 265616
Issued Date
Jun 29, 2012
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
17399 Harris Ave, Port Charlotte, FL 33948
Phone
(941) 625-1109
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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