Secretary of State
Board of Nursing
SHENELL LUTRUCIA FORMAN
Nursing - Licensed Practical Nurse
License number
PN5171121
Date granted
02/15/2006
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
2140 CENTERVILLE PLACE TALLAHASSEE,FL32308 UNITED STATES
nursingflorida.org
ID 31993471
LAST UPDATED 2026-04-07 11:21:12 UTC
LAST UPDATED 2026-04-07 11:21:12 UTC
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