SHIVONNE C LANE
Nursing at Blanco Dr, Deland, FL

License number
Florida 9199378
Issued Date
Mar 12, 2003
Effective Date
Mar 12, 2003
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
111 Blanco Dr, Deland, FL 32724
601 E Rollins St, Orlando, FL 32803
Phone
(239) 218-5659

Personal information

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Name
Address
Phone
Shivonne Lane, age 44
592 Blue Park Rd, Orange City, FL 32763
(386) 775-0376