KEITH B WIENCKOWSKI, JR
Nursing at Bayshore St, Fort Walton Beach, FL

License number
Florida 152067
Issued Date
Jul 9, 2007
Effective Date
Jun 15, 2015
Expiration Date
May 31, 2015
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
214 Bayshore St NE, Fort Walton Beach, FL 32548
1500 N White Pt Dr, Niceville, FL 32578
Phone
(850) 865-6931
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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