ILLENA L ROSE
Nursing at Tall Pne Dr, Daytona Beach, FL

License number
Florida 1632662
Issued Date
Jun 24, 1985
Effective Date
May 15, 2013
Expiration Date
Apr 30, 2011
Category
Health Care
Type
Registered Nurse
Address
Address
937 Tall Pine Dr, Daytona Beach, FL 32127
Phone
(386) 304-5965