Lisa Licavoli
Nursing at Winkel St, Saint Clair Shores, MI

License number
Colorado 103937
Issued Date
Jan 1, 1994
Renew Date
Sep 30, 1995
Expiration Date
Sep 30, 1995
Type
Registered Nurse
Address
Address 2
21001 Winkel St, Saint Clair Shores, MI 48081
Saint Clair Shores, MI