Professional Records
License Records
Shenell L Forman
Address:
599 Holyoke Ct APT A, Tallahassee, FL
2140 Centerville Pl, Tallahassee, FL
Phone:
(850) 567-8802
License #:
5171121 - Active
Category:
Health Care
Issued Date:
Feb 15, 2006
Effective Date:
Feb 15, 2006
Expiration Date:
Jul 31, 2017
Type:
Licensed Practical Nurse
Shenell L Forman
Address:
1755 Mt Hosea Church Rd, Quincy, FL
2507 Old St Augustine Rd, Tallahassee, FL
Phone:
(850) 627-8802
License #:
79564 - Expired
Category:
Health Care
Issued Date:
Oct 6, 1997
Effective Date:
Jan 21, 2010
Expiration Date:
Dec 31, 2007
Type:
Certified Nursing Assistant