KIMBERLY M PROVAX Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041359421

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

PROVAX

Business Name

KIMBERLY M PROVAX

Original Issue Date

04/06/2007

Effective Date

04/06/2007

Expiration Date

05/31/2008

City

CLERMONT

State

Zip

34711

County

LAKE

Ever Disciplined

LastModifiedDate

03/11/2008