JESSICA L PROVOST Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041378984

License Status

ACTIVE

Business

First Name

JESSICA

Middle

Last Name

PROVOST

Business Name

JESSICA L PROVOST

Original Issue Date

08/17/2009

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

WORTH

State

Zip

60482

Ever Disciplined

LastModifiedDate

02/28/2026