KENNETH T BACCILE
Nursing at San Juan, Saint Augustine, FL

License number
Florida 9215279
Issued Date
Apr 9, 2004
Effective Date
May 19, 2009
Expiration Date
Apr 30, 2007
Category
Health Care
Type
Registered Nurse
Address
Address 2
1452 San Juan St, Saint Augustine, FL 32080
316 Lorenzo Pl, Elmira, NY 14901