SUSAN K KISSACK
Nursing at Blueberry Dr, Daytona Beach, FL

License number
Florida 432171
Issued Date
Apr 11, 1977
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
1106 Blueberry Dr, Daytona Beach, FL 32129
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Susan Kissack, age 74
1106 Blueberry Dr, Port Orange, FL 32129
(386) 788-0848
Susan Kissack
Daytona Beach, FL
(386) 788-0848
Susan K Kissack, age 74
1106 Blueberry Dr, Port Orange, FL 32129
(386) 788-0848

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