BRANDI E PROVOW Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041479474

License Status

ACTIVE

Business

First Name

BRANDI

Middle

Last Name

PROVOW

Business Name

BRANDI E PROVOW

Original Issue Date

05/23/2019

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

MACHESNEY PARK

State

Zip

61115

Ever Disciplined

LastModifiedDate

02/28/2026