NANCY A PROVOST Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146537

License Status

INACTIVE

Business

First Name

NANCY A

Last Name

PROVOST

Business Name

NANCY A PROVOST

Original Issue Date

11/02/1972

Effective Date

11/02/1972

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/27/2006