JACOB D TENNENBAUM
Nursing at Lk Frst Dr, Laguna Beach, CA

License number
Florida 5151636
Issued Date
Oct 24, 2001
Effective Date
Oct 22, 2007
Expiration Date
Jul 31, 2007
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
6969 Lake Forest Dr, Laguna Beach, CA 92653
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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