Susan R Provost

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

041227206

Status

Expired (Not Renewed)

First issued

November 2, 1984

Expired

May 31, 2012

License holder

Susan R Provost

Entity type

Individual

Classifications

• Registered Professional Nurse (Nursing Board) Nursing

More from the license record

Current term began

04/13/2010

Other Illinois licenses under this name

• IL
  Susan R Provost

  License 070011402

  Licensed Physical Therapist
  Active

  Frankfort, IL

  Expires Sep 30, 2028

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