Evelyn Bernice Lantz
Nursing at 19 St, Canon City, CO

License number
Colorado 700307
Issued Date
Dec 11, 1998
Renew Date
Jan 31, 2000
Expiration Date
Jan 31, 2000
Type
Certified Nurse Aide
Address
Address
510 N 19Th St LOT 8, Canon City, CO 81212