MARLO C LAVINE
Nursing at Church Ave, Fort Walton Beach, FL

License number
Florida 86407
Issued Date
Dec 22, 2005
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
103 Church Ave, Fort Walton Beach, FL 32548
Phone
(850) 259-9689
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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