LYDIA V WALLACE
Nursing at Hwy 19, Collinsville, MS

License number
Florida 9308308
Issued Date
Jun 7, 2010
Effective Date
May 15, 2014
Expiration Date
Apr 30, 2012
Category
Health Care
Type
Registered Nurse
Address
Address
8453 Highway 19 N, Collinsville, MS 39325
Phone
(601) 934-7868
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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