Nursing Assistant Certified

Mission:

To protect, promote & improve the health

of all people in Florida through integrated

state, county & community efforts.

Ron DeSantis

Governor

Joseph A. Ladapo, MD, PhD

State Surgeon General

Vision: To be the Healthiest State in the Nation

FLORIDA DEPARTMENT OF HEALTH

CONFIRMATION OF SUBMISSION

NAME: ESPANITA ANN HAYNES

PROFESSION: CERTIFIED NURSING ASSISTANT

LICENSE NUMBER: CNA91951

RECEIPT DATE: 05/20/2024

APPLICATION NUMBER: 3101405

MAILING ADDRESS: 4501 EAST JOHNSON AVE APT.717

PENSACOLA, FL 32514

ATTENTION:

PRACTICE ADDRESS: 4501 EAST JOHNSON AVE APT.717

PENSACOLA, FL 32514

ATTENTION:

NOTE:

This document confirms receipt of an application for the above-named practitioner. Confirmation of your renewal can be viewed by visiting http://www.FLHealthsource.gov and selecting “Verify A License”. To download a copy of your e-license, please navigate to the “Licensure Documents” menu located within the

“Additional Activities” section of your MQA Dashboard within 2 business days of the approval of your renewal. If additional information is needed, you will receive a separate request. If you do not receive a request for additional information within 30 days, please contact us at 850-***-****.

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