PONMARY THOMAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009337

License Status

NOT RENEWED

Business

First Name

PONMARY

Last Name

THOMAS

Business Name

PONMARY THOMAS

Original Issue Date

01/06/2012

Effective Date

01/06/2012

Expiration Date

05/31/2012

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012