License holder summary

MIRANDA ANASTASHIA BLACK is a Nursing - Licensed Practical Nurse licensed to practice in Florida. The address on file for MIRANDA ANASTASHIA BLACK is 1045 E 11TH ST JACKSONVILLE,FL32206 UNITED STATES. This nurse license is current. The license was granted 09/29/2005 and expired on 07/31/2017.

Secretary of State

Board of Nursing

MIRANDA ANASTASHIA BLACK
Nursing - Licensed Practical Nurse
License number
PN5169477
Date granted
09/29/2005
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
1045 E 11TH ST JACKSONVILLE,FL32206 UNITED STATES
nursingflorida.org
ID 31976332
LAST UPDATED 2024-03-16 16:33:54 UTC

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