LISA A SMITH
Nursing at Poplar Head Church Rd, Holt, FL

License number
Florida 47734
Issued Date
Oct 18, 2004
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
5405 Poplar Head Church Rd, Holt, FL 32564
1849 E 1St Ave, Crestview, FL 32539
Phone
(850) 537-9446
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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