Department of Public Health
Board of Nursing
MICHELLE PROVOST
Registered Nurse
License number
E57048
Date granted
07/29/1994
Date expires
08/31/2014
Class
Registered Nurse
Status
Active
Address
35 WALKER TERR, Tolland, VERNON, CT, 06066
nursingct.org
ID 4572620
LAST UPDATED 2024-02-26 14:31:06 UTC
LAST UPDATED 2024-02-26 14:31:06 UTC
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