SHIRLEY A PROVINS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047692

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

PROVINS

Business Name

SHIRLEY A PROVINS

Original Issue Date

01/07/1980

Expiration Date

01/31/1991

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005