ALEXIS S KOTHLOW
Nursing at Pleasant Ave, Balsam Lake, WI

License number
Florida 259244
Issued Date
Apr 16, 2012
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
138 Pleasant Ave, Balsam Lake, WI 54810
Phone
(715) 497-9619
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.