STACEY W ELLIS
Dental Hygienist at Ivy Gln, Lake City, FL

License number
Florida 17369
Issued Date
Jul 14, 2003
Effective Date
Jul 14, 2003
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental Hygienist
Address
Address
252 NW Ivy Gln, Lake City, FL 32055
Phone
(386) 853-0703