JACK D BOHANNAN
Nursing at Marquette Ave, Jacksonville, FL

License number
Florida 766132
Issued Date
Apr 25, 1975
Effective Date
May 15, 2013
Expiration Date
Apr 30, 2011
Category
Health Care
Type
Registered Nurse
Address
Address
4188 Marquette Ave, Jacksonville, FL 32210
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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