DESIREE M PROVAX - Registered Nurse License in Illinois | # 041413059

DESIREE M PROVAX

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041413059

License Status

ACTIVE

Business

N

First Name

DESIREE

Middle

M

Last Name

PROVAX

Business Name

DESIREE M PROVAX

BusinessDBA

DESIREE MICHELLE PRO

Original Issue Date

07/26/2013

Effective Date

05/21/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

02/28/2026