DIANE C BLACK
Nursing at White Heron Dr, Santa Rosa Beach, FL

License number
Florida 9321763
Issued Date
Mar 23, 2011
Effective Date
May 31, 2013
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
282 White Heron Dr, Santa Rosa Beach, FL 32459
7800 W Highway 98 W., Destin, FL 32550
Phone
(865) 705-5154
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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