CAITLIN T PROVAZZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041504368

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

Last Name

PROVAZZA

Business Name

CAITLIN T PROVAZZA

Original Issue Date

01/13/2021

Effective Date

01/13/2021

Expiration Date

08/31/2022

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022