MICHELLE O WALLACE
Medical Practice at Plantation Dr, Melbourne, FL

License number
Florida 8566
Issued Date
Apr 26, 2011
Effective Date
Sep 5, 2012
Expiration Date
Aug 31, 2011
Category
Health Care
Type
Clinical Laboratory Trainee
Address
Address
2265 Plantation Dr, Melbourne, FL 32935
Phone
(240) 338-7014
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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