SUSAN JANE PONTIUS - Registered Nurse License in Illinois | # 041155853

SUSAN JANE PONTIUS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155853

License Status

NOT RENEWED

Business

N

First Name

SUSAN JANE

Last Name

PONTIUS

Business Name

SUSAN JANE PONTIUS

Original Issue Date

09/11/1974

Effective Date

09/11/1974

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006