OLIVIA G PROVENZALE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041514957

License Status

ACTIVE

Business

First Name

OLIVIA

Middle

Last Name

PROVENZALE

Business Name

OLIVIA G PROVENZALE

Original Issue Date

08/24/2021

Effective Date

05/25/2024

Expiration Date

05/31/2026

City

DOWNERS GROVE

State

Zip

60515

Ever Disciplined

LastModifiedDate

03/01/2026