License holder summary

KIM R REQUA is a Nursing - Dental Radiographer licensed to practice in Florida. The address on file for KIM R REQUA is 301 W. OLYMPIA AVENUE PUNTA GORDA,FL33950. This nurse license is current. The license was granted 07/27/2001.

Secretary of State

Board of Nursing

KIM R REQUA
Nursing - Dental Radiographer
License number
DR124696
Date granted
07/27/2001
Class
Nursing - Dental Radiographer
Status
Clear
Address
301 W. OLYMPIA AVENUE PUNTA GORDA,FL33950
nursingflorida.org
ID 31887358
LAST UPDATED 2024-03-08 08:28:14 UTC

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