Secretary of State
Board of Nursing
KIM I MEMORY FAIRCLOTH
Nursing - Licensed Practical Nurse
License number
PN363291
Date granted
05/30/1975
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
1070 N. STONE ST SUITE D DELAND,FL32720 UNITED STATES
nursingflorida.org
ID 31992081
LAST UPDATED 2024-04-05 13:15:41 UTC
LAST UPDATED 2024-04-05 13:15:41 UTC
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