STACY A WALLACE
Nursing at 47 Ct, Lake Worth, FL

License number
Florida 5147035
Issued Date
Jun 14, 2000
Effective Date
Aug 17, 2005
Expiration Date
Jul 31, 2003
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
4701 47Th Ct S, Lake Worth, FL 33463