LILLIE M JACKSON
Nursing at Grissholm St, Macclenny, FL

License number
Florida 105708
Issued Date
Aug 5, 1997
Effective Date
Jan 12, 2006
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
608 Grissholm St, Macclenny, FL 32063
Phone
(904) 259-2097
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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