SUSAN B BLACK
Nursing at Crk Frst Ln, Ormond Beach, FL

License number
Florida 1497212
Issued Date
Dec 19, 1983
Effective Date
Jan 10, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
131 Creek Forest Ln, Ormond Beach, FL 32174
1893 N Clyde Morris Blvd STE 110, Daytona Beach, FL 32117
Phone
(386) 316-0616
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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