Michigan
Department of Licensing and Regulation
TAMMY LYNN PROVATAS
Nurse Registered & Licensed Practical - Lpn Temporary
License number
4703083249
Class
Nurse Registered & Licensed Practical - Lpn Temporary
Status
Voided
Address
Muskegon, MI 49445
michiganlicensing.org
ID 25826779
LAST UPDATED 2026-07-10 10:18:17 UTC
LAST UPDATED 2026-07-10 10:18:17 UTC
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