License holder summary

KIM I MEMORY FAIRCLOTH is a Nursing - Licensed Practical Nurse licensed to practice in Florida. The address on file for KIM I MEMORY FAIRCLOTH is 1070 N. STONE ST SUITE D DELAND,FL32720 UNITED STATES. This nurse license is current. The license was granted 05/30/1975 and expired on 07/31/2017.

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 2024-02-10 06:23:38 UTC

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