NANCY WRABLIK PROVENZANO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041170474

License Status

NOT RENEWED

Business

First Name

NANCY WRABLIK

Last Name

PROVENZANO

Business Name

NANCY WRABLIK PROVENZANO

Original Issue Date

11/01/1976

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

WEST ALLIS

State

Zip

53214

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021