Indiana
State Board of Nursing
Kelly Jo Provost
Registered Nurse
License number
28178739A
Date granted
06/13/2008
Date expires
10/31/2013
Class
Registered Nurse
Status
Expired
Address
Osceola IN 46561
nursingindiana.org
ID 12280037
LAST UPDATED 2024-01-28 22:35:30 UTC
LAST UPDATED 2024-01-28 22:35:30 UTC
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