SHANNON M BOUCHARD
Nursing in Lakeland, FL

License number
Florida 128779
Issued Date
May 23, 2006
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
5115 N Socrum Lp Rd, Lakeland, FL 33809
Phone
(863) 868-6685
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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