Professional Records
License Records
Lusson Souffrant
Address:
5410 Orch Lk Dr, Jacksonville, FL
1504 Seabreeze Ave, Jacksonville, FL
Phone:
(904) 444-2671
License #:
80810 - Expired
Category:
Health Care
Issued Date:
Jul 31, 2004
Effective Date:
Jan 14, 2014
Expiration Date:
Dec 31, 2011
Type:
Certified Nursing Assistant
