John Marc Provenzano

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

209001255

Status

Expired (Not Renewed)

First issued

June 20, 2001

Expired

September 30, 2020

License holder

John Marc Provenzano

Entity type

Individual

Classifications

• Advanced Practice Registered Nurse Nursing

More from the license record

Current term began

05/23/2018

Other Illinois licenses under this name

• IL
  John Marc Provenzano

  License 041278102

  Registered Professional Nurse (Nursing Board)
  Expired

  Darien, IL

  Expired Sep 30, 2020

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