PENNY J DETRIE
Nursing at 4 Ave, Zephyrhills, FL

License number
Florida 5152907
Issued Date
Mar 28, 2002
Effective Date
Aug 15, 2013
Expiration Date
Jul 31, 2011
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
38744 4Th Ave, Zephyrhills, FL 33542
13100 Fort King Rd, Dade City, FL 33525