LYDIA V WALLACE
Nursing at 66 Ave, Hollywood, FL

License number
Florida 2223472
Issued Date
Apr 15, 1991
Effective Date
May 15, 2013
Expiration Date
Apr 30, 2011
Category
Health Care
Type
Registered Nurse
Address
Address
3021 N 66Th Ave, Hollywood, FL 33024
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about LYDIA V WALLACE at bizstanding.com

Lydia Valladares Wallace DO PA

Hollywood, FL  -  Pompano Beach, FL

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Doing business as:
Lydia V. Wallace DO PA
Registration:
Jul 2, 2009
Addresses:
3021 NW 66 Ave, Hollywood, FL 33024
5491 N University Dr, Pompano Beach, FL 33067
State ID:
P09000057078
Business type:
Domestic for Profit Corporation
President, Director:
Lydia Wallace President, Director, inactive

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