JACLYN M WAGNER
Nursing at Idle Sands Dr, Venice, FL

License number
Florida 116355
Issued Date
Dec 3, 2004
Effective Date
Feb 6, 2013
Expiration Date
May 31, 2017
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
12 Idle Sands Dr, Venice, FL 34293
Phone
(941) 237-6783
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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