JACK C MODLIN
Nursing at Bracken Ln, Brandon, FL

License number
Florida 175240
Issued Date
Oct 10, 2008
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
127 Bracken Ln, Brandon, FL 33511
Phone
(813) 690-3986
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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