LAZIKASE L ALLEN
Nursing at Carson Dr, Fort Walton Beach, FL

License number
Florida 54241
Issued Date
Nov 17, 2005
Effective Date
Sep 6, 2012
Expiration Date
May 31, 2019
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
107 Carson Dr, Fort Walton Beach, FL 32548
Phone
(850) 218-6812
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Lazikase Allen, age 45
1 Windham Ave SE, Fort Walton Beach, FL 32548

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