License holder summary

JACK LAMAR BIRGE is a Nursing - Licensed Practical Nurse licensed to practice in Florida. The address on file for JACK LAMAR BIRGE is 5783 OLD BETHEL RD CRESTVIEW,FL32536-9539 UNITED STATES. This nurse license is current. The license was granted 09/08/1986 and expired on 07/31/2017.

Secretary of State

Board of Nursing

JACK LAMAR BIRGE
Nursing - Licensed Practical Nurse
License number
PN842741
Date granted
09/08/1986
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
5783 OLD BETHEL RD CRESTVIEW,FL32536-9539 UNITED STATES
nursingflorida.org
ID 31976197
LAST UPDATED 2026-05-12 16:50:02 UTC

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