IRENE C FORMAN
Nursing at 14 St Cswy, Pompano Beach, FL

License number
Florida 824102
Issued Date
Mar 22, 1976
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
2731 NE 14Th Street Cswy APT 736-B, Pompano Beach, FL 33062
Phone
(954) 785-4014
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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