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
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Illena Rose, age 71
PO Box 290233, Port Orange, FL 32129
(386) 871-8118
Illena Rose
Daytona Beach, FL
(386) 304-5965
Illena A Rose, age 71
937 Tall Pine Dr, Port Orange, FL 32127
(386) 304-5965
Illena A Rose, age 71
504 Arnold Dr, Daytona Beach, FL 32114

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