GREGORY W LONG
Nursing at Creekwater Blvd, Daytona Beach, FL

License number
Florida 5164456
Issued Date
Oct 5, 2004
Effective Date
Oct 5, 2004
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
1732 Creekwater Blvd, Daytona Beach, FL 32128
Phone
(386) 405-2690
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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