Professional Records
License Records
David A Licwov
Address:
PO Box 291946, Tampa, FL
11612 Harmony Rnch Ln, Thonotosassa, FL
Phone:
(813) 445-0448
License #:
35758 - Expired
Category:
Health Care
Issued Date:
Apr 18, 1989
Effective Date:
Jun 15, 2015
Expiration Date:
May 31, 2017
Type:
Certified Nursing Assistant