GAIL L WALLACE
Nursing at Powder Horn Row, Lakeland, FL

License number
Florida 6788
Issued Date
Jun 27, 2003
Effective Date
Aug 22, 2006
Expiration Date
Dec 31, 2005
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
625 Powder Horn Row, Lakeland, FL 33809
104 Britain Ct, Newark, DE 19702
Phone
(863) 853-7420
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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