License holder summary

Jessica Ann Provost is a Nursing - Licensed Practical Nurse licensed to practice in Colorado. The address on file for Jessica Ann Provost is 12409 Motley RD, Falcon, CO, 80831-0831. This licensed professional license is not current. The license was granted 03/26/2004 and expired on 06/30/2006.

Colorado

Division of Professions and Occupations

Jessica Ann Provost
Nursing - Licensed Practical Nurse
License number
40859
Date granted
03/26/2004
Date expires
06/30/2006
Class
Nursing - Licensed Practical Nurse
Status
Expired
Address
12409 Motley RD, Falcon, CO, 80831-0831
coloradolicensing.org
ID 27763598
LAST UPDATED 2024-02-14 22:29:17 UTC

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