License holder summary

LEILANI J PROVENCAL is a Nursing Assistant - Licensed Nursing Assistant licensed to practice in New Hampshire. This nurse license is not current. The license was granted 09/28/2005 and expired on 05/16/2011.

Office of Professional Licensure

Board Of Nursing

LEILANI J PROVENCAL
Nursing Assistant - Licensed Nursing Assistant
License number
032251-24
Date granted
09/28/2005
Date expires
05/16/2011
Class
Nursing Assistant - Licensed Nursing Assistant
Status
Inactive
nhnursing.org
ID 20912510
LAST UPDATED 2024-02-29 02:42:54 UTC

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