KRISTINE M WAGONER
Nursing at 15 Ave, Fort Lauderdale, FL

License number
Florida 1222601
Issued Date
Feb 22, 1996
Effective Date
Aug 13, 2001
Expiration Date
Jul 31, 1999
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
4361 NE 15Th Ave, Fort Lauderdale, FL 33334
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Kristine M Wagoner, age 49
4711 54Th Ter, Fort Lauderdale, FL 33314

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