OLIVE R WALLACE
Nursing at Heather Gln Cir, Lake Mary, FL

License number
Florida 26445
Issued Date
Apr 21, 2004
Effective Date
Jan 16, 2015
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
720 Heather Glen Cir, Lake Mary, FL 32746
Phone
(407) 323-9591
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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