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 2026-04-04 17:01:28 UTC
LAST UPDATED 2026-04-04 17:01:28 UTC
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