NOKOMIS E BALFANTZ
Nursing at Douglas St, Appleton, WI

License number
Florida 5151725
Issued Date
Nov 2, 2001
Effective Date
Aug 17, 2005
Expiration Date
Jul 31, 2003
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
1616 N Douglas St, Appleton, WI 54914