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Shantay
Shantay
Jackson
Homemaker
Certified nursing assistant
Davenport,
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Florida Health Care Practitioner Data Portal
Full name
SHANTAY JACKSON
Job Title
Certified Nursing Assistant
Location
Davenport, FL, USA
LIC ID
529320
Current License Expiration Date
31/05/2025
Original Date
22/07/2022
Professional Rank Code
CNA
Effective Date
22/07/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
POLK
Practice Location Address Line 1
1954 1954 Marabou Dr
Practice Location Address City
DAVENPORT
Practice Location Address State
FL
Practice Location Address Zipcode
33896
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