SUSAN G PROVINZANO
Nursing at Doverbrook Dr, West Palm Beach, FL

License number
Florida 1172671
Issued Date
Oct 28, 1994
Effective Date
Aug 17, 2005
Expiration Date
Jul 31, 2003
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
8557 Doverbrook Dr, West Palm Beach, FL 33410
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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