License holder summary

LATISA A WALLACE is a Nursing - Certified Nursing Assistant licensed to practice in Florida. The address on file for LATISA A WALLACE is 1025 NORTH NOVA RD SUITE106 HOLLY HILL, FL 32117 UNITED STATES ATTN: RESTCARE HOME CARE. This nurse license is current. The license was granted 09/28/2002 and expired on 05/31/2016.

Secretary of State

Board of Nursing

LATISA A WALLACE
Nursing - Certified Nursing Assistant
License number
CNA91372
Date granted
09/28/2002
Date expires
05/31/2016
Class
Nursing - Certified Nursing Assistant
Status
Active
Address
1025 NORTH NOVA RD SUITE106 HOLLY HILL, FL 32117 UNITED STATES ATTN: RESTCARE HOME CARE
nursingflorida.org
ID 31816490
LAST UPDATED 2024-04-25 12:59:24 UTC

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