DESIREE M PROVAX Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018899

License Status

ACTIVE

Business

First Name

DESIREE

Middle

Last Name

PROVAX

Business Name

DESIREE M PROVAX

BusinessDBA

DESIREE MICHELLE PRO

Original Issue Date

03/04/2019

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026