Name
License InformationLicense Information
| License Type | License Number | Expiration Date | Granted Date | License Name | License Status | | Licensure Actions or Pending Charges |
| Licensed Practical Nurse | 32116 | 03/31/2021 | 12/22/2006 | TIMOTHY PREVO | INACTIVE | LAPSED DUE TO NON-RENEWAL | None |
|