SAMUEL C DOUGLAS
Nursing at 106 St, Largo, FL

License number
Florida 54934
Issued Date
Jun 22, 2004
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
10629 106Th St N, Largo, FL 33773
Phone
(727) 391-9247
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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