SIMONE L SHACKELFORD
Nursing at Carillon Pl, Lake Wales, FL

License number
Florida 181319
Issued Date
Feb 3, 2009
Effective Date
Jun 15, 2015
Expiration Date
May 31, 2015
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
3107 Carillon Pl, Lake Wales, FL 33898
40100 Us Highway 27, Davenport, FL 33837
Phone
(863) 440-8946
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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