RUSTY J JACKSON
Nursing at Prince Charles Dr, Davenport, FL

License number
Florida 175912
Issued Date
Oct 21, 2008
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
346 Prince Charles Dr, Davenport, FL 33837
Phone
(863) 438-5072
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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