NANCY S PROVENCE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041085929

License Status

NOT RENEWED

Business

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

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006