LUCILLE R PROVENCHER
Nursing at Cassia Tree Way, Boynton Beach, FL

License number
Florida 1287612
Issued Date
Oct 12, 1981
Effective Date
Mar 29, 2010
Expiration Date
Apr 30, 2005
Category
Health Care
Type
Registered Nurse
Address
Address
9905-B Cassia Tree Way, Boynton Beach, FL 33436
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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