CLEVENCER R BOUGOUNEAU
Nursing at 23 St, Hollywood, FL

License number
Florida 93004
Issued Date
Apr 11, 2002
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
5440 SW 23Rd St, Hollywood, FL 33023
5440 NW 33Rd Ave, Fort Lauderdale, FL 33309
Phone
(305) 244-1295