LAURIE J PROVANCE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041485130

License Status

ACTIVE

Business

First Name

LAURIE

Middle

Last Name

PROVANCE

Business Name

LAURIE J PROVANCE

Original Issue Date

09/03/2019

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

SENECA

State

Zip

61360

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/01/2026