MARY LISE VAN
Nursing at Frst Br Dr, Daytona Beach, FL

License number
Florida 82872
Issued Date
Aug 25, 2001
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
3528 Forest Branch Dr APT F, Daytona Beach, FL 32129
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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