Cynthia Jean Wallace
Nursing at Maple St, Fort Collins, CO

License number
Colorado 70660
Issued Date
Jul 1, 1981
Renew Date
Sep 30, 1984
Expiration Date
Sep 30, 1984
Type
Registered Nurse
Address
Address 2
1226 Maple St APT B, Fort Collins, CO 80525
Fort Collins, CO