ANTONIO L FORT
Nursing at Palmetto St, Conway, SC

License number
Florida 266330
Issued Date
Jul 16, 2012
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
416 Palmetto St, Conway, SC 29527
1127 Tangerine St, Clearwater, FL 33755
Phone
(843) 465-3647
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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