PATRICIA VAN WAGNER
Nursing at Owens Trl, Inverness, FL

License number
Florida 120531
Issued Date
Mar 14, 1987
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
3908 S Owens Trl, Inverness, FL 33450
712 Pine Ave, Green Cove Springs, FL 32043
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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