JACQUELINE R HAYNES
Nursing at Blue Moon Ave, Lake Placid, FL

License number
Florida 101455
Issued Date
May 13, 1994
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
232 Blue Moon Ave, Lake Placid, FL 33852
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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