AMANDA D FULGHUM
Nursing at Jim Kim Ln, Lakeland, FL

License number
Florida 5162136
Issued Date
Apr 23, 2004
Effective Date
Apr 23, 2004
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
3606 Jim Kim Ln, Lakeland, FL 33812
435 2 St NE, Winter Haven, FL 33881
Phone
(863) 412-7365
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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