CASEY P SHACKLEFORD
Nursing at Pne Grv Lndg, Chesapeake, VA

License number
Florida 1752892
Issued Date
Aug 25, 1986
Effective Date
May 1, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
3904 Pine Grove Lndg, Chesapeake, VA 23322
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Casey P Shackleford, age 60
3904 Pine Grove Lndg, Chesapeake, VA 23322

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