JUDITH L PROVENCHER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057463

License Status

NOT RENEWED

Business

First Name

JUDITH L

Last Name

PROVENCHER

Business Name

JUDITH L PROVENCHER

Original Issue Date

10/11/1983

Expiration Date

01/31/1987

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005