The holder whose full name is Polk, Antonia Denise,come from Tampa FL,hold the Registered Nurse license(NO.28127167A) which status is Suspended.
| Name | Polk, Antonia Denise |
|---|---|
| License Number | 28127167A |
| License Type | Registered Nurse |
| License Status | Suspended |
| City | Tampa |
| State | FL |