License holder summary

JEROME WAYNE FOSAAEN is a Nursing - Dietitian/Nutritionist licensed to practice in Florida. The address on file for JEROME WAYNE FOSAAEN is 1605 SANTA MARIE COURT SAINT AUGUSTINE,FL32080 UNITED STATES. This nurse license is current. The license was granted 08/13/2004 and expired on 05/31/2017.

Secretary of State

Board of Nursing

JEROME WAYNE FOSAAEN
Nursing - Dietitian/Nutritionist
License number
ND4527
Date granted
08/13/2004
Date expires
05/31/2017
Class
Nursing - Dietitian/Nutritionist
Status
Active
Address
1605 SANTA MARIE COURT SAINT AUGUSTINE,FL32080 UNITED STATES
nursingflorida.org
ID 31891167
LAST UPDATED 2024-05-02 21:37:26 UTC

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