Professional Records
License Records
Thane E Bullock
Address:
109 N Osceola Dr, Indian Harbour Beach, FL
Phone:
(321) 773-1179
License #:
5203009 - Active
Category:
Health Care
Issued Date:
Feb 16, 2012
Effective Date:
Feb 16, 2012
Expiration Date:
Jul 31, 2019
Type:
Licensed Practical Nurse
Thane E Bullock
Address:
109 N Osceola Dr, Indian Harbour Beach, FL
109 N Osceola Dr, Indian Harbour Beach, FL
Phone:
(321) 773-1179
License #:
214790 - Expired
Category:
Health Care
Issued Date:
May 10, 2010
Effective Date:
Jan 15, 2016
Expiration Date:
Dec 31, 2013
Type:
Certified Nursing Assistant