JACKLIN L DAVENPORT
Nursing at 21 Ave, Saint Petersburg, FL

License number
Florida 110800
Issued Date
Feb 16, 2004
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
761 21St Ave S, Saint Petersburg, FL 33705
Phone
(727) 827-3004
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jacklin Davenport, age 63
761 21St Ave S, Saint Petersburg, FL 33705

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