Lawrence J Fort
Nursing in Taylorsville, UT

License number
Utah 103324-3101
Issued Date
May 28, 1980
Expiration Date
Dec 31, 1984
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Taylorsville, UT

Personal information

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Name
Address
Phone
Lawrence J Fort, age 76
6258 Westbrook Dr, West Jordan, UT 84084
(801) 964-1918