MARY PROVAZNIK - Registered Nurse License in Missouri | # 041248181

MARY PROVAZNIK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248181

License Status

NOT RENEWED

Business

N

First Name

MARY

Last Name

PROVAZNIK

Business Name

MARY PROVAZNIK

Original Issue Date

08/06/1988

Effective Date

08/06/1988

Expiration Date

05/31/1998

State

MO

Ever Disciplined

N

LastModifiedDate

09/27/2006