KELLY K WALLACE
Nursing at Lk Carlton Dr, Lutz, FL

License number
Florida 237768
Issued Date
Apr 29, 2011
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
17856 Lk Carlton Dr APT A, Lutz, FL 33558
Phone
(813) 380-4954
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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