IDALLA J SHAW
Nursing at Saint Regis Ln, Port Richey, FL

License number
Florida 693391
Issued Date
Mar 21, 1983
Effective Date
Aug 14, 2003
Expiration Date
Jul 31, 2001
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
8739 Saint Regis Ln, Port Richey, FL 34668