Department of Financial and Professional Regulation
Board of Nursing
JOHN MARC PROVENZANO
Advanced Practice Nurse
License number
209001255
Date granted
06/20/2001
Date expires
05/31/2016
Class
Advanced Practice Nurse
Status
Active
Address
DARIEN, IL 60561-3739
illinoisnursing.org
ID 23680038
LAST UPDATED 2026-04-09 12:27:21 UTC
LAST UPDATED 2026-04-09 12:27:21 UTC
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