Martha S Provenghi
ExpiredCalifornia license 216261
License
- Licensed by
- California Board of Registered Nursing
- License number
- 216261
- Status
- Expired (Delinquent)
- First issued
- January 1, 1971
- Expired
- May 31, 2009
- License holder
- Martha S Provenghi
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
8522 Acacia Dr
Cypress, CA 90630
Cypress, CA 90630
Orange County