License holder summary

LORI KING-GRUVER WALLACE is a Nursing - Licensed Practical Nurse licensed to practice in Florida. The address on file for LORI KING-GRUVER WALLACE is 3695 HODGES CLUSTER,FLORIDA MENTOR JACKSONVILLE, FLORIDA PONTE VEDRA BEACH,FL32082 UNITED STATES ATTN: LORI K WALLACEPN5150134. This nurse license is current. The license was granted 09/05/2003 and expired on 07/31/2017.

Secretary of State

Board of Nursing

LORI KING-GRUVER WALLACE
Nursing - Licensed Practical Nurse
License number
PN5159134
Date granted
09/05/2003
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
3695 HODGES CLUSTER,FLORIDA MENTOR JACKSONVILLE, FLORIDA PONTE VEDRA BEACH,FL32082 UNITED STATES ATTN: LORI K WALLACEPN5150134
nursingflorida.org
ID 32034736
LAST UPDATED 2024-02-06 03:54:40 UTC

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