License holder summary

MATTHEW PROVOST is a Registered Nurse licensed to practice in Connecticut. The address on file for MATTHEW PROVOST is 5205 TIORE TERR APT B202, SAN DIEGO, CA, 92122. This nurse license is current. The license was granted 07/06/2010 and expired on 12/31/2014.

Department of Public Health

Board of Nursing

MATTHEW PROVOST
Registered Nurse
License number
94618
Date granted
07/06/2010
Date expires
12/31/2014
Class
Registered Nurse
Status
Active
Address
5205 TIORE TERR APT B202, SAN DIEGO, CA, 92122
nursingct.org
ID 4490370
LAST UPDATED 2024-04-23 07:58:23 UTC

This website is unaffiliated with the Board of Nursing. Please verify all information directly with the relevant official government authority.

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