Lucille Barbara Wallace
Nursing at Dragoon, Whetstone, AZ

License number
Colorado 116610
Issued Date
Oct 1, 1997
Renew Date
Oct 1, 2001
Expiration Date
Sep 30, 2003
Type
Registered Nurse
Address
Address 2
306 Dragoon St, Whetstone, AZ 85616
Whetstone, AZ