SANTIAGO M WALLACE
Nursing at Leavitt Ave, Orange City, FL

License number
Florida 1280811
Issued Date
Aug 27, 1997
Effective Date
Aug 19, 2009
Expiration Date
Jul 31, 2007
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
420 N Leavitt Ave, Orange City, FL 32763
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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