License holder summary

JEANNIE MARIE PROVENCHER is a Nursing - Registered Nurse licensed to practice in Maine. The address on file for JEANNIE MARIE PROVENCHER is 469 HIGH ST, NORTH BERWICK, ME 03906-6104. This nurse license is not current. The license was granted 08/26/1977 and expired on 05/16/2011.

Department of Professional and Financial Regulation

Board of Nursing

JEANNIE MARIE PROVENCHER
Nursing - Registered Nurse
License number
RN21003
Date granted
08/26/1977
Date expires
05/16/2011
Class
Nursing - Registered Nurse
Status
Surrendered
Address
469 HIGH ST, NORTH BERWICK, ME 03906-6104
nursingmaine.org
ID 22560500
LAST UPDATED 2024-04-13 08:46:23 UTC

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