DOROTHY L PROVINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041038367

License Status

INACTIVE

Business

First Name

DOROTHY L

Last Name

PROVINE

Business Name

DOROTHY L PROVINE

Original Issue Date

01/01/1997

Expiration Date

05/31/1996

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/27/2006