Secretary of State
Board of Nursing
FORREST BRADLEY DEWITT JR.
Nursing - Licensed Practical Nurse
License number
PN5206482
Date granted
09/07/2012
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
8564 E CR 466 SUITE 101 LADY LAKE,FL32162 UNITED STATES ATTN: SANTA FE SURGERY CENTER LLC
nursingflorida.org
ID 31989065
LAST UPDATED 2026-03-26 00:26:47 UTC
LAST UPDATED 2026-03-26 00:26:47 UTC
This website is unaffiliated with the Board of Nursing. Please verify all information directly with the relevant official government authority.