EVIN L WALLACE
Nursing at Wallingford St, Deltona, FL

License number
Florida 3417822
Issued Date
Sep 20, 1999
Effective Date
Mar 16, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
2026 Wallingford St, Deltona, FL 32738
Phone
(407) 314-4267
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Evin L Wallace, age 56
1442 Ashbourne Way, Deltona, FL 32725
Evin L Wallace, age 56
401 Seminole Blvd, Sanford, FL 32771

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