Pro Provan
ExpiredCalifornia license 199009
License
- Licensed by
- California Board of Registered Nursing
- License number
- 199009
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- November 30, 2014
- License holder
- Pro Provan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
13088 Manzanita Rd
Bainbridge Is, WA 98110
Bainbridge Is, WA 98110
Kitsap County