NANCY S PROVENCE - Registered Nurse License in Illinois | # 041085929

NANCY S PROVENCE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041085929

License Status

NOT RENEWED

Business

N

First Name

NANCY S

Last Name

PROVENCE

Business Name

NANCY S PROVENCE

Original Issue Date

11/21/1956

Effective Date

11/21/1956

Expiration Date

05/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006