KIM E TICE
Nursing at Shady Frst Dr, Riverview, FL

License number
Florida 440451
Issued Date
May 30, 1977
Effective Date
Sep 6, 2007
Expiration Date
Jul 31, 2005
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
12211 Shady Forest Dr, Riverview, FL 33569
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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