DEBORAH A PROVINZANO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210254

License Status

NOT RENEWED

Business

First Name

DEBORAH A

Last Name

PROVINZANO

Business Name

DEBORAH A PROVINZANO

Original Issue Date

08/04/1982

Effective Date

12/28/2020

Expiration Date

08/31/2022

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2022