DEREK R KOPACZ
Nursing at Lynnwood Ln, Lynn Haven, FL

License number
Florida 5176755
Issued Date
Mar 21, 2007
Effective Date
Aug 19, 2011
Expiration Date
Jul 31, 2009
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
402 Lynnwood Ln APT A107, Lynn Haven, FL 32444
Phone
(850) 624-3195
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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