ANTOINETTE THERESA PONTONE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036066

License Status

INACTIVE

Business

First Name

ANTOINETTE

Middle

THERESA

Last Name

PONTONE

Business Name

ANTOINETTE THERESA PONTONE

Original Issue Date

01/30/1975

Effective Date

12/13/2018

Expiration Date

01/31/2021

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

11/08/2020