SHIRLEY A PROVINS
Nursing at 21 Ct, Fort Lauderdale, FL

License number
Florida 2918682
Issued Date
Mar 24, 1995
Effective Date
Aug 14, 2004
Expiration Date
Jul 31, 2002
Category
Health Care
Type
Registered Nurse
Address
Address
8690 NW 21St Ct, Fort Lauderdale, FL 33322