John Marc Provenzano
ExpiredIllinois license 041278102
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041278102
- Status
- Expired (Not Renewed)
- First issued
- October 22, 1993
- Expired
- September 30, 2020
- License holder
- John Marc Provenzano
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/23/2018
Other Illinois licenses under this name
-
IL
ExpiredDarien, ILExpired Sep 30, 2020
Contact
Darien, IL 60561
Dupage County