Ellen Elizabeth Proveaux
ExpiredCalifornia license 649298
License
- Licensed by
- California Board of Registered Nursing
- License number
- 649298
- Status
- Expired (Delinquent)
- First issued
- December 8, 2004
- Expired
- July 31, 2014
- License holder
- Ellen Elizabeth 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