LATESSA V JACKSON
Nursing at 91 St, Lulu, FL

License number
Florida 5194793
Issued Date
Sep 7, 2010
Effective Date
Sep 7, 2010
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
16701 SE 91St St, Lulu, FL 32054
602 E Laura St, Kingsley Lake, FL 32091
Phone
(386) 269-2790
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Latessa Jackson, age 43
750 SW 1St Ter, Lake Butler, FL 32054
(904) 364-7892

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