JACQUELINE M WALLICK
Nursing at Avenal Dr, Lutz, FL

License number
Florida 1175872
Issued Date
Sep 8, 1980
Effective Date
Feb 25, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
5420 Avenal Dr, Lutz, FL 33558
411 N Franklin St, Tampa, FL 33602
Phone
(813) 390-7087
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jacqueline Wallick
1108 Bartow Rd APT 70, Lakeland, FL 33801

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