KELLY R BERGMAN
Nursing at Fountain Lk Blvd, Leesburg, FL

License number
Florida 5191472
Issued Date
Feb 12, 2010
Effective Date
Feb 12, 2010
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
11124 Fountain Lake Blvd, Leesburg, FL 34788
Phone
(574) 870-2281
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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