JUAN R LOPEZ
Nursing at Fern Ave, Titusville, FL

License number
Florida 1142241
Issued Date
Apr 16, 1994
Effective Date
Aug 25, 2015
Expiration Date
Jul 31, 2013
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
473 Fern Ave, Titusville, FL 32796
3700 N Harbor City Blvd SUITE 1C/1D, Melbourne, FL 32935
Phone
(321) 269-9532
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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