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 2024-03-31 23:04:23 UTC
LAST UPDATED 2024-03-31 23:04:23 UTC
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