GRACE MARIE MANDICOTT FOUNTAIN
Department Of Health - Adv Reg Nurse Practitioner
Florida ARNP1971352 Retired
This Florida license was held by GRACE MARIE MANDICOTT FOUNTAIN. The license is no longer active. It was granted on 05/24/1974 and expired on 07/31/2008
LICENSE DETAILS
- License Number: ARNP1971352
- Category: Adv Reg Nurse Practitioner
- Status: Retired
- Date Granted: 05/24/1974 (over 52 years ago)
- Expiry Date: 07/31/2008 (about 18 years ago)
LOCATIONS
A Primary Practice Address
1430 GULF BLVD #808, SOUTH BEACH II, CLEARWATER, FL 33767
Learn more about the regulations governing Department Of Health - Adv Reg Nurse Practitioner
See Fact Sheet