STACI L CLARK
Nursing at Columbia Ave, Lake City, FL

License number
Florida 140921
Issued Date
Dec 4, 2006
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
418 SW Columbia Ave APT 101, Lake City, FL 32025
Phone
(386) 752-7567