SHANTA N JACKSON
Nursing at 11 Ave So, Saint Petersburg, FL

License number
Florida 115919
Issued Date
Jan 31, 2004
Effective Date
Jan 31, 2004
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2124 11Th Ave, Saint Petersburg, FL 33712
Phone
(727) 278-1512
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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