Wisconsin
Department of Safety and Professional Services
Provot, Holly
Licensed Practical Nurse
License number
14530-31
Date granted
12/07/1973
Date expires
04/30/2015
Class
Licensed Practical Nurse
Status
Active
nursingwisconsin.org
ID 13108231
LAST UPDATED 2024-03-13 16:09:33 UTC
LAST UPDATED 2024-03-13 16:09:33 UTC
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