MARTHA D WALLACE
Nursing at 100, Miami, FL

License number
Florida 524231
Issued Date
May 28, 1979
Effective Date
Aug 14, 2003
Expiration Date
Jul 31, 2001
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
1075 NW 100Th St, Miami, FL 33142
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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