MILLICENT A WALLACE
Nursing at Rankin Ave, Melbourne, FL

License number
Florida 61813
Issued Date
Feb 21, 1992
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1418 Rankin Ave, Melbourne, FL 32909
Phone
(321) 750-2589
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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