JACQUELINE A WALLIS
Nursing at Lk Agnes Dr, Polk City, FL

License number
Florida 845282
Issued Date
Jul 5, 1976
Effective Date
Jan 1, 1901
Expiration Date
Apr 30, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
817 Lake Agnes Dr, Polk City, FL 33868
Phone
(863) 984-4162
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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