Professional Records
License Records
Kenlyn W South
Address:
PO Box 92, Ruskin, FL
1601 Rickenbacker Dr #5, Sun City Center, FL
Phone:
(813) 641-3656
License #:
49275 - Expired
Category:
Health Care
Issued Date:
Aug 18, 2004
Effective Date:
Jan 23, 2012
Expiration Date:
Dec 31, 2009
Type:
Certified Nursing Assistant