License holder summary

Patricia Ann Provost is a Nursing Board - Csr Prescriptive Authority licensed to practice in Indiana. The address on file for Patricia Ann Provost is Kleinert Kutz, 3605 Northgate Court Suite 101, New Albany IN 47150. This nurse license is not current. The license was granted 12/17/2003 and expired on 10/31/2009.

Indiana

State Board of Nursing

Patricia Ann Provost
Nursing Board - Csr Prescriptive Authority
License number
71001676B
Date granted
12/17/2003
Date expires
10/31/2009
Class
Nursing Board - Csr Prescriptive Authority
Status
Expired
Address
Kleinert Kutz, 3605 Northgate Court Suite 101, New Albany IN 47150
nursingindiana.org
ID 6439409
LAST UPDATED 2024-03-15 09:21:32 UTC

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

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