KIM R JOHNSON
Nursing at Illicium Ln, Lady Lake, FL

License number
Florida 104257
Issued Date
Mar 2, 1995
Effective Date
Jan 11, 2006
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
4118 Illicium Ln, Lady Lake, FL 32159
1000 Waterman Way, Tavares, FL 32778