DELORAS J POLHLOPEK
Nursing at William Gary Johnson Rd, Crestview, FL

License number
Florida 3420312
Issued Date
Sep 24, 1999
Effective Date
Feb 7, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
6494 William Gary Johnson Rd, Crestview, FL 32531
7421 Ridge Rd, New Port Richey, FL 34668
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Deloras Polhlopek, age 59
6494 William Gary Johnson Rd, Baker, FL 32531

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