LILIA B LAKE
Nursing at Venice Ave, Fort Walton Beach, FL

License number
Florida 1870802
Issued Date
Dec 7, 1987
Effective Date
May 4, 2006
Expiration Date
Apr 30, 2006
Category
Health Care
Type
Registered Nurse
Address
Address 2
1558 Venice Ave, Fort Walton Beach, FL 32547
69 Lakeshore Dr, Shalimar, FL 32579
Phone
(850) 226-6476
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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