JOHN MARC PROVENZANO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041278102

License Status

NOT RENEWED

Business

First Name

JOHN MARC

Last Name

PROVENZANO

Business Name

JOHN MARC PROVENZANO

Original Issue Date

10/22/1993

Effective Date

05/23/2018

Expiration Date

09/30/2020

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021