Hermine Cynthia Wallace
ExpiredCalifornia license 646812
License
- Licensed by
- California Board of Registered Nursing
- License number
- 646812
- Status
- Expired (Delinquent)
- First issued
- October 22, 2004
- Expired
- May 31, 2016
- License holder
- Hermine Cynthia Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
10173 NW16th Street
Coral Springs, FL 33071
Coral Springs, FL 33071
Broward County