The holder whose full name is PROVANCAL, AMY L.,come from MONON IN,hold the Certified Nurse Aide license(NO.CNA0704706) which status is Active.
| Name | PROVANCAL, AMY L. |
|---|---|
| License Number | CNA0704706 |
| License Type | Certified Nurse Aide |
| License Status | Active |
| City | MONON |
| State | IN |