Professional Records
License Records
Lisa Gravesande
Address:
7731 Northaven Pl, New Port Richey, FL
Phone:
(727) 580-6669
License #:
123624 - Expired
Category:
Health Care
Issued Date:
Feb 4, 2005
Effective Date:
Jan 16, 2015
Expiration Date:
Dec 31, 2012
Type:
Certified Nursing Assistant
Lisa Gravesande
Address:
5672 33 Ave N, St Petersburg, FL
License #:
88593 - Active
Category:
Health Care
Issued Date:
Jul 15, 2015
Effective Date:
Jul 15, 2015
Expiration Date:
Nov 30, 2018
Type:
Radiologic Technology
