MARY PROVAZNIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248181

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

PROVAZNIK

Business Name

MARY PROVAZNIK

Original Issue Date

08/06/1988

Effective Date

08/06/1988

Expiration Date

05/31/1998

City

ROCK HILL

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006