Secretary of State
Board of Nursing
MINOUCHE PROVILON
Nursing - Licensed Practical Nurse
License number
PN5192078
Date granted
03/18/2010
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
2010 MANATEE AVE EAST BRADENTON,FL34208 UNITED STATES
nursingflorida.org
ID 32020951
LAST UPDATED 2026-03-18 20:57:28 UTC
LAST UPDATED 2026-03-18 20:57:28 UTC
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