CHARLES J FULTZ
Nursing at 123 Ave, Jasper, FL

License number
Florida 5201762
Issued Date
Nov 16, 2011
Effective Date
May 15, 2017
Expiration Date
Jul 31, 2019
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
8540 SE 123Rd Ave, Jasper, FL 32052
Phone
(386) 855-1615
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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