License holder summary

DEBORAH ANN PROVOST is a Nurse Registered & Licensed Practical - Lpn Temporary licensed to practice in Michigan. The address on file for DEBORAH ANN PROVOST is Saint Clair Shores, MI 48082.

Michigan

Department of Licensing and Regulation

DEBORAH ANN PROVOST
Nurse Registered & Licensed Practical - Lpn Temporary
License number
4703078499
Class
Nurse Registered & Licensed Practical - Lpn Temporary
Status
Voided
Address
Saint Clair Shores, MI 48082
michiganlicensing.org
ID 25826786
LAST UPDATED 2024-04-18 13:33:10 UTC

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