JERRY B AMBONG - Registered Nurse License in New Jersey | # 041357575

JERRY B AMBONG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041357575

License Status

NOT RENEWED

Business

N

First Name

JERRY

Middle

B

Last Name

AMBONG

Business Name

JERRY B AMBONG

BusinessDBA

AMBONG

Original Issue Date

12/11/2006

Effective Date

06/02/2014

Expiration Date

05/31/2016

State

NJ

Ever Disciplined

N

LastModifiedDate

07/11/2016