Secretary of State
Board of Nursing
GENEVIEVE SUYDAM PRACK DAVIS
Nursing - Licensed Practical Nurse
License number
PN1004351
Date granted
12/10/1990
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
1132 E. NORTH BLVD LEESBURG,FL34748 UNITED STATES ATTN: LAKE DERMATOLOGY
nursingflorida.org
ID 31987498
LAST UPDATED 2024-03-15 16:12:23 UTC
LAST UPDATED 2024-03-15 16:12:23 UTC
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