LISA R BLACK
Nursing at Katherine St, Panama City, FL

License number
Florida 118626
Issued Date
May 15, 2004
Effective Date
May 9, 2007
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
5617 Katherine St, Panama City, FL 32404
Phone
(850) 770-9918
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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