CAROL S FORTENBAUGH
Nursing at Havana Trl, Lady Lake, FL

License number
Florida 9354174
Issued Date
Jan 2, 2013
Effective Date
Jan 2, 2013
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
2582 Havana Trl, Lady Lake, FL 32162
600 E Dixie Ave, Leesburg, FL 34748
Phone
(610) 390-6482
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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