MARTHA A LISLE
Nursing at Kentwood Rd, Port Saint Lucie, FL

License number
Florida 1163361
Issued Date
Aug 30, 1994
Effective Date
Aug 14, 2003
Expiration Date
Jul 31, 2001
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
285 SW Kentwood Rd, Port Saint Lucie, FL 34953
Phone
(505) 899-0143