Deborah A Provinzano
ExpiredIllinois license 041210254
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041210254
- Status
- Expired (Not Renewed)
- First issued
- August 4, 1982
- Expired
- August 31, 2022
- License holder
- Deborah A Provinzano
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 12/28/2020
Contact
Highland, IL 62249
Madison County