LICY A JACOB
Nursing at Spoonbill Ct, Lakeland, FL

License number
Florida 1043331
Issued Date
Dec 16, 1991
Effective Date
Aug 13, 2001
Expiration Date
Jul 31, 1999
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
3917 Spoonbill Ct, Lakeland, FL 33813