GLENN RONALD PONCE DELEON DAZO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041325496

License Status

NOT RENEWED

Business

First Name

GLENN RONALD

Middle

PONCE DELEON

Last Name

DAZO

Business Name

GLENN RONALD PONCE DELEON DAZO

Original Issue Date

08/06/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

BOSTON

State

Zip

02118

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

08/16/2010