ROBERTA L HACKWORTH
Nursing at Tom Costine Rd, Lakeland, FL

License number
Florida 1279141
Issued Date
Aug 7, 1997
Effective Date
Aug 14, 2003
Expiration Date
Jul 31, 2001
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
9326 Tom Costine Rd, Lakeland, FL 33809