PONZEL MELVINE SIMMONS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036884

License Status

INACTIVE

Business

First Name

PONZEL MELVINE

Last Name

SIMMONS

Business Name

PONZEL MELVINE SIMMONS

Original Issue Date

02/13/1975

Expiration Date

01/31/1985

City

BROOKPORT

State

Zip

62910

County

MASSAC

Ever Disciplined

LastModifiedDate

10/21/2005