GIOVANNI M PROVENZANO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041368035

License Status

NOT RENEWED

Business

First Name

GIOVANNI

Middle

Last Name

PROVENZANO

Business Name

GIOVANNI M PROVENZANO

Original Issue Date

06/06/2008

Effective Date

05/18/2022

Expiration Date

06/30/2024

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025