Secretary of State
Board of Nursing
CHARLES C PROVENZANO
Nursing - Consultant Pharmacist
License number
PU4527
Date granted
12/22/1995
Date expires
12/31/2016
Class
Nursing - Consultant Pharmacist
Status
Active
Address
4150 CHURCH ST. SUITE 1030 SANFORD, FL 32771 UNITED STATES
nursingflorida.org
ID 31852436
LAST UPDATED 2024-02-17 10:57:18 UTC
LAST UPDATED 2024-02-17 10:57:18 UTC
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