JEANIENE C CHURCH
Nursing at Portofino Dr, Gulf Breeze, FL

License number
Florida 9218153
Issued Date
Jun 24, 2004
Effective Date
May 15, 2012
Expiration Date
Apr 30, 2010
Category
Health Care
Type
Registered Nurse
Address
Address 2
2 Portofino Dr SUITE 1704, Gulf Breeze, FL 32561
600 W Gregory St, Pensacola, FL 32502
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jeaniene Church, age 65
14 W Gadsden St, Pensacola, FL 32501

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