License holder summary

PENELOPE PROVOST is a Registered Nurse licensed to practice in Connecticut. The address on file for PENELOPE PROVOST is 34 RAINBOW RD, Hartford, WINDSOR, CT, 06095. This nurse license is current. The license was granted 10/01/1993 and expired on 07/31/2015.

Department of Public Health

Board of Nursing

PENELOPE PROVOST
Registered Nurse
License number
E56132
Date granted
10/01/1993
Date expires
07/31/2015
Class
Registered Nurse
Status
Active
Address
34 RAINBOW RD, Hartford, WINDSOR, CT, 06095
nursingct.org
ID 4569925
LAST UPDATED 2024-04-20 18:15:51 UTC

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