K LEE F WALLACE
Nursing at Christy Dr, Daytona Beach, FL

License number
Florida 270066
Issued Date
Sep 14, 2012
Effective Date
Sep 20, 2015
Expiration Date
May 31, 2017
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
815 Christy Dr, Daytona Beach, FL 32129
Phone
(386) 402-3065
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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