PONZIA K FOWLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017912

License Status

INACTIVE

Business

First Name

PONZIA K

Last Name

FOWLER

Business Name

PONZIA K FOWLER

Original Issue Date

01/24/1967

City

INDUSTRY

State

Zip

61440

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/21/2005