MARK R KOPACZ
Nursing at Lynnwood Lane, A-107, Lynn Haven, FL

License number
Florida 1207861
Issued Date
Sep 19, 1995
Effective Date
Aug 19, 2009
Expiration Date
Jul 31, 2007
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
402 Lynnwood Ln, Lynn Haven, FL 32444