SHARON A PROVENCE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270642

License Status

NOT RENEWED

Business

First Name

SHARON A

Last Name

PROVENCE

Business Name

SHARON A PROVENCE

Original Issue Date

10/05/1992

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021