STACY D LAKE
Nursing at Ft Dade Ave, Brooksville, FL

License number
Florida 35297
Issued Date
Jun 19, 1995
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
20021 Fort Dade Ave, Brooksville, FL 34601
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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