License holder summary

CHARLES MACON WALLACE is a Nursing - Dentist licensed to practice in Florida. The address on file for CHARLES MACON WALLACE is 4743 PINFISH COURT BONITA SPRINGS,FL34134 UNITED STATES. This nurse license is current. The license was granted 07/17/1995 and expired on 02/28/2016.

Secretary of State

Board of Nursing

CHARLES MACON WALLACE
Nursing - Dentist
License number
DN14024
Date granted
07/17/1995
Date expires
02/28/2016
Class
Nursing - Dentist
Status
Active
Address
4743 PINFISH COURT BONITA SPRINGS,FL34134 UNITED STATES
nursingflorida.org
ID 31865802
LAST UPDATED 2024-04-03 14:45:15 UTC

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