Secretary of State
Board of Nursing
KETLIE FORMONVIL
Nursing - Licensed Practical Nurse
License number
PN5181384
Date granted
03/05/2008
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
8800 SW 23 ST MIRAMAR,FL33025 UNITED STATES
nursingflorida.org
ID 31993475
LAST UPDATED 2024-03-15 05:46:31 UTC
LAST UPDATED 2024-03-15 05:46:31 UTC
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