BROOKE N FORTNER
Nursing at Sparrow Ave, Palm Harbor, FL

License number
Florida 239339
Issued Date
May 19, 2011
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
808 Sparrow Ave, Palm Harbor, FL 34683
Phone
(727) 784-3158
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Brooke F Fortner, age 56
1711 Newport Ave, Lakeland, FL 33803
(863) 682-1709

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