KIM DIANE G CLARK
Nursing at Loveland Blvd, Port Charlotte, FL

License number
Florida 630151
Issued Date
Dec 14, 1981
Effective Date
May 9, 2013
Expiration Date
Jul 31, 2011
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
2153 Loveland Blvd, Port Charlotte, FL 33980
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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