LANCE G GILLENWATER
Nursing at Billfish Ave, Fort Walton Beach, FL

License number
Florida 167498
Issued Date
May 30, 2008
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
352 Billfish Ave, Fort Walton Beach, FL 32548
Phone
(850) 217-8954