MAE D WILDEMAN
Nursing at Shady Ln, Lake Wales, FL

License number
Florida 142493
Issued Date
Jan 4, 2007
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
1817 Shady Ln, Lake Wales, FL 33898
1646 Hwy 441 N, Okeechobee, FL 34972
Phone
(863) 605-1596
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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