Lisa M Provo
Nursing in Bernhards Bay, NY

License number
Utah 211632-3105
Issued Date
Mar 18, 1983
Expiration Date
Dec 31, 1989
Category
Nurse
Type
Registered Nurse (Valid in Utah Only)
Address
Address
Bernhards Bay, NY
LicenseFiles verified this license of Nov 19, 2016 at the Utah Division of Occupational and Professional Licensing.