License Directory

Pro Provan

Expired

California 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

More from the license record

License type code
4001

Contact

13088 Manzanita Rd
Bainbridge Is, WA 98110
Kitsap County