MARY D WALLACE
Nursing at Harvest Dl Ct, Stone Mountain, GA

License number
Florida 2173172
Issued Date
Oct 22, 1990
Effective Date
Jan 1, 1901
Expiration Date
Apr 30, 1997
Category
Health Care
Type
Registered Nurse
Address
Address
1206 Harvest Dale Ct, Stone Mountain, GA 30088
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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