HEIDE MICHELLE PROVENCHER
Nurse - Registered Nurse
Utah 5768401-3102 Expired
This Utah license was held by HEIDE MICHELLE PROVENCHER. The license is no longer active. It was granted on 12/13/2004 and expired on 01/31/2009
LICENSE DETAILS
- License Number: 5768401-3102
- Category: REGISTERED NURSE
- Status: Expired
- Date Granted: 12/13/2004 (over 20 years ago)
- Expiry Date: 01/31/2009 (over 16 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 84121