JAIME L PROVINCE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111127

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

Last Name

PROVINCE

Business Name

JAIME L PROVINCE

Original Issue Date

09/17/2010

Effective Date

12/08/2014

Expiration Date

01/31/2017

City

PANAMA

State

Zip

62077

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/27/2017