License holder summary

LYSTRA T THEOPHILLE GRANNUM is a Nursing - Certified Nursing Assistant licensed to practice in Florida. The address on file for LYSTRA T THEOPHILLE GRANNUM is 2204 Fitness Club Way Apt 102 TAMPA, FL 33612. This nurse license is current. The license was granted 01/26/2012 and expired on 05/31/2016.

Secretary of State

Board of Nursing

LYSTRA T THEOPHILLE GRANNUM
Nursing - Certified Nursing Assistant
License number
CNA254794
Date granted
01/26/2012
Date expires
05/31/2016
Class
Nursing - Certified Nursing Assistant
Status
Active
Address
2204 Fitness Club Way Apt 102 TAMPA, FL 33612
nursingflorida.org
ID 31808148
LAST UPDATED 2026-04-12 11:44:38 UTC

This website is unaffiliated with the Board of Nursing. Please verify all information directly with the relevant official government authority.

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