SHARON A PROVENCE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037353

License Status

NOT RENEWED

Business

First Name

SHARON A

Last Name

PROVENCE

Business Name

SHARON A PROVENCE

Original Issue Date

06/10/1975

Expiration Date

01/31/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005