License holder summary

Amanda Lorrene Formyduval is a Nursing - Naii Listing licensed to practice in North Carolina. The address on file for Amanda Lorrene Formyduval is Longwood, NC. This licensed professional license is not current. The license was granted 06/01/1995 and expired on 12/31/2003.

North Carolina

Secretary of State

Amanda Lorrene Formyduval
Nursing - Naii Listing
License number
14802
Date granted
06/01/1995
Date expires
12/31/2003
Class
Nursing - Naii Listing
Status
Expired
Address
Longwood, NC
licensingnc.com
ID 19254018
LAST UPDATED 2024-05-08 23:57:38 UTC

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