KIM I FAIRCLOTH
Nursing at Lockwood Blvd, Deltona, FL

License number
Florida 363291
Issued Date
May 30, 1975
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
2941 Lockwood Blvd, Deltona, FL 32738
1070 N Stone St SUITE D, Deland, FL 32720
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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