MICHAEL J LUCISANO
Nursing at 178 St, Summerfield, FL

License number
Florida 9173541
Issued Date
Nov 20, 2000
Effective Date
Oct 10, 2006
Expiration Date
Jul 31, 2004
Category
Health Care
Type
Registered Nurse
Address
Address
11985 SE 178Th St, Summerfield, FL 34491
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Michael J Lucisano, age 85
11985 178Th St, Summerfield, FL 34491
(352) 307-0595

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