Professional Records
License Records
Shannon L Diehm
Address:
15097 Malcolm Ave, Port Charlotte, FL
4945 Ringwood Mdw, Sarasota, FL
Phone:
(941) 426-8983
License #:
103434 - Expired
Category:
Health Care
Issued Date:
May 18, 2004
Effective Date:
Jan 23, 2012
Expiration Date:
Dec 31, 2009
Type:
Certified Nursing Assistant