Professional Records
License Records
Lieselotte M Blake
Address:
5553 Blackjack Grv Ln, Jacksonville, FL
4901 Richard St, Jacksonville, FL
License #:
18938 - Expired
Category:
Health Care
Issued Date:
Sep 25, 1998
Effective Date:
Jan 16, 2015
Expiration Date:
Dec 31, 2012
Type:
Certified Nursing Assistant