Professional Records
License Records
Vonshala S Fudge
Address:
1113 SW Jaguar Dr, Lake City, FL
Phone:
(386) 697-3205
License #:
136355 - Expired
Category:
Health Care
Issued Date:
Sep 1, 2006
Effective Date:
Jun 15, 2015
Expiration Date:
May 31, 2015
Type:
Certified Nursing Assistant