LUGENE M JACKSON
Nursing at 13 St, Orange City, FL

License number
Florida 36054
Issued Date
Apr 12, 2005
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
1754 13Th St, Orange City, FL 32763
60 U.s Hwy 17-92 U.S., De Bary, FL 32713
Phone
(386) 951-2299

Personal information

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Name
Address
Phone
Lugene Jackson, age 70
408 Wedgewood Ct, Orange City, FL 32763