Department of Financial and Professional Regulation
Board of Nursing
WILLIAM RANDALL PROVENCE
Licensed Nursing Home Administrator
License number
044003095
Date granted
10/31/1985
Date expires
11/30/2015
Class
Licensed Nursing Home Administrator
Status
Inactive
Address
DWIGHT, IL 60420
illinoisnursing.org
ID 24736239
LAST UPDATED 2024-03-25 12:41:30 UTC
LAST UPDATED 2024-03-25 12:41:30 UTC
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