ELIZABETH A FACKLAM
Nursing at King Arthur Dr, Port Richey, FL

License number
Florida 120204
Issued Date
Feb 21, 2006
Effective Date
Feb 21, 2006
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
7224 King Arthur Dr, Port Richey, FL 34668
6500 38Th Ave N, Saint Petersburg, FL 33710
Phone
(727) 247-2386
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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