Secretary of State
Board of Nursing
RICHARD B FORUM
Nursing - Dentist
License number
DN5494
Date granted
08/01/1971
Date expires
02/28/2016
Class
Nursing - Dentist
Status
Active
Address
800 E. BROWARD BLVD, SUITE 410 FT LAUDERDALE,FL33301 UNITED STATES ATTN: LINDA FORUM
nursingflorida.org
ID 31857105
LAST UPDATED 2024-03-16 23:52:28 UTC
LAST UPDATED 2024-03-16 23:52:28 UTC
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