License holder summary

DEBRA A WALLACE is a Nursing - Certified Nursing Assistant licensed to practice in Florida. The address on file for DEBRA A WALLACE is 5608 KENNY DRIVE TAMPA, FL 33617 UNITED STATES ATTN: DEBRA S DIVINE CARE INC.. This nurse license is current. The license was granted 01/04/1994 and expired on 05/31/2016.

Secretary of State

Board of Nursing

DEBRA A WALLACE
Nursing - Certified Nursing Assistant
License number
CNA54979
Date granted
01/04/1994
Date expires
05/31/2016
Class
Nursing - Certified Nursing Assistant
Status
Active
Address
5608 KENNY DRIVE TAMPA, FL 33617 UNITED STATES ATTN: DEBRA S DIVINE CARE INC.
nursingflorida.org
ID 31816456
LAST UPDATED 2024-04-28 18:26:04 UTC

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