KATHLEEN L WALLACE
Nursing at Bay Ct Ave, Tampa, FL

License number
Florida 501481
Issued Date
Dec 4, 1978
Effective Date
Dec 29, 2004
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
3936 Bay Court Ave, Tampa, FL 33611
Phone
(813) 892-9661