BROCK E WALLACE
Nursing at 65 Ter, Largo, FL

License number
Florida 9403551
Issued Date
Mar 17, 2015
Effective Date
Mar 17, 2015
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
11028 65Th Ter, Largo, FL 33772
300 Pinellas St, Clearwater, FL 33756
Phone
(717) 887-7196
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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