Sandra L Provost
ExpiredCalifornia license 220352
License
- Licensed by
- California Board of Registered Nursing
- License number
- 220352
- Status
- Expired (Delinquent)
- First issued
- January 1, 1971
- Expired
- March 31, 2023
- License holder
- Sandra L Provost
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5520 Dugan Ave
La Mesa, CA 91942-2459
La Mesa, CA 91942-2459
San Diego County