Professional Records
License Records
Blake W Wysocki
Address:
54 Vlg Dr, Ormond Beach, FL
Phone:
(386) 631-7676
License #:
221162 - Active
Category:
Health Care
Issued Date:
Jul 23, 2010
Effective Date:
Jan 14, 2014
Expiration Date:
May 31, 2018
Type:
Certified Nursing Assistant