TAKISHA R SUMMERALL
Nursing at Icabod Ct, Leesburg, FL

License number
Florida 113180
Issued Date
Mar 30, 1999
Effective Date
Jun 3, 2016
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
2615 Icabod Ct, Leesburg, FL 34748
3050 Brown Ave, Mount Dora, FL 32757
Phone
(352) 233-7872