Chris Martin Proveaux
ExpiredCalifornia license 640913
License
- Licensed by
- California Board of Registered Nursing
- License number
- 640913
- Status
- Expired (Delinquent)
- First issued
- July 21, 2004
- Expired
- November 30, 2015
- License holder
- Chris Martin Proveaux
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3561 Old 96 Indian Trl
Wagener, SC 29164
Wagener, SC 29164
Aiken County