Janemarie Provo
ExpiredCalifornia license 490506
License
- Licensed by
- California Board of Registered Nursing
- License number
- 490506
- Status
- Expired (Delinquent)
- First issued
- April 30, 1993
- Expired
- October 31, 2004
- License holder
- Janemarie Provo
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6919 Maplewood Road
Indian River, MI 49749
Indian River, MI 49749
Cheboygan County