Bernard R Prouty
ExpiredCalifornia license 470224
License
- Licensed by
- California Board of Registered Nursing
- License number
- 470224
- Status
- Expired (Delinquent)
- First issued
- August 31, 1991
- Expired
- October 31, 2020
- License holder
- Bernard R Prouty
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7718 7th Ave
Kenosha, WI 53143
Kenosha, WI 53143
Kenosha County