Professional Records
License Records
Regina K Fullwood
Address:
PO Box 3417, Lake Wales, FL
431 E Johnson Ave, Lake Wales, FL
Phone:
(863) 207-2802
License #:
169709 - Active
Category:
Health Care
Issued Date:
Jul 9, 2008
Effective Date:
Jul 9, 2008
Expiration Date:
May 31, 2018
Type:
Certified Nursing Assistant