PATRICIA V WALLACE
Nursing at Adair Ave, Mount Plymouth, FL

License number
Florida 5192657
Issued Date
Apr 21, 2010
Effective Date
Apr 21, 2010
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
24639 Adair Ave, Mount Plymouth, FL 32776
1211 E Caroline St, Tavares, FL 32778
Phone
(352) 978-8170
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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