License Number: CNA319853Data As Of 6/2/2020
|Profession||Certified Nursing Assistant|
|License Status||NULL AND VOID/|
|License Expiration Date||5/31/2016|
|License Original Issue Date||07/13/2015|
|Address of Record||If further information is needed, please contact the Department of Health at (850) 488-0595.|
|Discipline on File||No|
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