Todd Allan Provence
ExpiredCalifornia license 529968
License
- Licensed by
- California Board of Registered Nursing
- License number
- 529968
- Status
- Expired (Delinquent)
- First issued
- February 20, 1997
- Expired
- February 28, 2019
- License holder
- Todd Allan Provence
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4185 Aspen Springs Ct
Redding, CA 96002
Redding, CA 96002
Shasta County