AMY MICHELLE PROVENZANO - Registered Nurse License in Ohio | # 041561064

AMY MICHELLE PROVENZANO

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041561064

License Status

ACTIVE

Business

N

First Name

AMY

Middle

MICHELLE

Last Name

PROVENZANO

Business Name

AMY MICHELLE PROVENZANO

Original Issue Date

03/06/2024

Effective Date

03/06/2024

Expiration Date

05/31/2026

State

OH

Ever Disciplined

N

LastModifiedDate

03/01/2026