License holder summary

ILLIA PROVENZO is a Nursing - Certified Nursing Assistant licensed to practice in Florida. The address on file for ILLIA PROVENZO is 13055 NE 6 Ave. apt.306 NORTH MIAMI BEACH, FL 33161. This nurse license is current. The license was granted 11/04/2015 and expired on 05/31/2016.

Secretary of State

Board of Nursing

ILLIA PROVENZO
Nursing - Certified Nursing Assistant
License number
CNA324976
Date granted
11/04/2015
Date expires
05/31/2016
Class
Nursing - Certified Nursing Assistant
Status
Active
Address
13055 NE 6 Ave. apt.306 NORTH MIAMI BEACH, FL 33161
nursingflorida.org
ID 31781921
LAST UPDATED 2024-04-05 06:54:12 UTC

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