Professional Records
License Records
Tiffany P Dault
Address:
402 E Evan Ave, Bonifay, FL
306 W Brock Ave, Bonifay, FL
Phone:
(850) 614-1102
License #:
239595 - Expired
Category:
Health Care
Issued Date:
May 23, 2011
Effective Date:
Jun 1, 2016
Expiration Date:
May 31, 2016
Type:
Certified Nursing Assistant