MARCELLE MARIE PROVENCIAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041385442

License Status

NOT RENEWED

Business

First Name

MARCELLE

Middle

MARIE

Last Name

PROVENCIAL

Business Name

MARCELLE MARIE PROVENCIAL

Original Issue Date

07/15/2010

Effective Date

04/04/2016

Expiration Date

05/31/2018

City

DURHAM

State

Zip

27705

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018