TRACIE J ELLISON
Nursing at Clearlake Rd, Cocoa, FL

License number
Florida 140294
Issued Date
Nov 27, 2006
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1524 Clearlake Rd APT 19, Cocoa, FL 32922
Phone
(321) 288-8917
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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