PENNY L JOHANSON
Nursing at Tikell Dr, Crestview, FL

License number
Florida 9173790
Issued Date
Dec 4, 2000
Effective Date
Aug 20, 2008
Expiration Date
Jul 31, 2006
Category
Health Care
Type
Registered Nurse
Address
Address
531 Tikell Dr, Crestview, FL 32536
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Penny Johanson, age 74
5852 Calumet Ct, Crestview, FL 32536
(850) 423-0807

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