MONA K SULLIVAN
Nursing at Log Cabin Ln, Crestview, FL

License number
Florida 591091
Issued Date
Dec 15, 1980
Effective Date
Aug 21, 2015
Expiration Date
Jul 31, 2015
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
3050 Log Cabin Ln, Crestview, FL 32539
340 Beal Pkwy, Fort Walton Beach, FL 32548
Phone
(850) 683-4167
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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