DAVID R WALLACE
Nursing at Tulip Ln, Rockford, IL

License number
Florida 3203592
Issued Date
Sep 15, 1997
Effective Date
Jan 4, 2012
Expiration Date
Apr 30, 2013
Category
Health Care
Type
Registered Nurse
Address
Address
862 Tulip Ln #1, Rockford, IL 61107
Phone
(111) 111-1111