CHANTHOL PEN
Nursing at Rose Petal Ln, Palm Coast, FL

License number
Florida 9232475
Issued Date
Jun 17, 2005
Effective Date
May 6, 2015
Expiration Date
Apr 30, 2013
Category
Health Care
Type
Registered Nurse
Address
Address 2
2 Rosepetal Ln, Palm Coast, FL 32164
300 Health Park Blvd SUITE 5008, Saint Augustine, FL 32086
Phone
(386) 986-6294
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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