LOIS A BASIT
Nursing at Bel Aire Dr, Crestview, FL

License number
Florida 2787582
Issued Date
Apr 11, 1994
Effective Date
Jan 1, 1901
Expiration Date
Apr 30, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
612 Bel Aire Dr, Crestview, FL 32536

Personal information

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Name
Address
Phone
Lois A Basit, age 63
2100 Zephyr Rd, Avon Park, FL 33825