HEATHER DENICE PROVOST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041461008

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

DENICE

Last Name

PROVOST

Business Name

HEATHER DENICE PROVOST

Original Issue Date

01/11/2018

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

AUSTIN

State

Zip

78704

County

TEXAS

Ever Disciplined

LastModifiedDate

01/14/2021