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 2026-03-09 05:47:57 UTC
LAST UPDATED 2026-03-09 05:47:57 UTC
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