TAMMY LYNN PROVATAS

Nursing - Lpn Temporary

Michigan  4703083249   Voided

This Michigan license was held by TAMMY LYNN PROVATAS. The license is no longer active. It was granted on 02/02/1995

LICENSE DETAILS

  • License Number: 4703083249
  • Category: LPN - Temporary
  • Status: Voided
  • Date Granted: 02/02/1995 (over 29 years ago)