Keith Alan Domerese
Nursing at Coopers Hl Ln, Midland, VA

License number
Colorado 32891
Issued Date
Feb 26, 1996
Renew Date
Jul 1, 2010
Expiration Date
Aug 31, 2012
Type
Licensed Practical Nurse
Address
Address
5210 Coopers Hill Ln, Midland, VA 22728
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.