Post Acute Vocational Nurse

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Applicant Background

Information

Personal Information

Last: Armstrong First: Lola Middle:

SSN: 547061205 DOB: 03/20/1956

Email: *******@*****.***

Other: 424-***-****

Client ID: PACS27 Client Name: Mirage Post Acute

Gender: F

Address History

Former Address:

2865 Owens Way

Rosamond, CA 93560, US

Reported From: 11/2023 Reported To: PRESENT

Former Address:

1651 West Avenue J8, 115

Lancaster, CA 93534, US

Reported From: 03/2022 Reported To: 11/2023

Present Address:

3470 Kearsage Dr.

A107

Lake Havasu City, AZ 86406, US

Reported From: 03/2020 Reported To:

Former Address:

15209 Prairie Ave

110

Lawndale, CA 90260, US

Reported From: 01/2016 Reported To: 03/2022

MVR

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Subject ID: 35983506 Page: 1

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04/04/2024 04:09:50 PM

Details

Applicant Background

Information

Employment

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Education/Training

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Professional Credentials

Credential: Licensed Vocational Nurse

License#: 214591

Date Issued: 04/2005

Authority: CA

Criminal History Disclosures

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References

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Subject ID: 35983506 Page: 2

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