JACK D FORTENBERRY
Nursing at State Rd 52, San Antonio, FL

License number
Florida 1224492
Issued Date
Mar 23, 1981
Effective Date
Jul 14, 2005
Expiration Date
Apr 30, 2003
Category
Health Care
Type
Registered Nurse
Address
Address
32001 State Road 52, San Antonio, FL 33576
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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