Wisconsin
Department of Safety and Professional Services
Provencher, Elaine K
Licensed Practical Nurse
License number
19697-31
Date granted
12/09/1977
Date expires
04/30/1999
Class
Licensed Practical Nurse
Status
Expired
nursingwisconsin.org
ID 13117740
LAST UPDATED 2024-04-28 14:17:18 UTC
LAST UPDATED 2024-04-28 14:17:18 UTC
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