CHRISTINA M PROVENZANO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041239046

License Status

NOT RENEWED

Business

First Name

CHRISTINA M

Last Name

PROVENZANO

Business Name

CHRISTINA M PROVENZANO

Original Issue Date

09/22/1986

Effective Date

09/22/1986

Expiration Date

05/31/1990

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

1988000963

Action

Probation

Discipline Start Date

09/29/1989

Discipline End Date

09/29/1992