Arizona
Board of Licensing
DUSTY PROVENCIO
Nursing - Certified Nursing Asst
License number
CNA905158353
Date granted
06/30/1997
Date expires
07/31/2002
Class
Nursing - Certified Nursing Asst
Status
Denied
arizonalicensing.com
ID 22462248
LAST UPDATED 2024-03-11 09:57:40 UTC
LAST UPDATED 2024-03-11 09:57:40 UTC