DIANA J FAIR
Nursing at Late Autumn Ln, Tallahassee, FL

License number
Florida 1072671
Issued Date
Jun 22, 1992
Effective Date
Jan 15, 2002
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
7100 Late Autumn Ln, Tallahassee, FL 32309
9700 Hamlin Blvd APT 806, Largo, FL 33776
Phone
(727) 776-0354
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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