Division of Occupational and Professional Licensing
Board of Nursing
HEIDE MICHELLE PROVENCHER
Nurse - Registered Nurse
License number
5768401-3102
Date granted
12/13/2004
Date expires
01/31/2009
Class
Nurse - Registered Nurse
Status
Expired
Address
SALT LAKE CITY, UT 84121
nursingutah.org
ID 29833392
LAST UPDATED 2026-06-03 16:12:18 UTC
LAST UPDATED 2026-06-03 16:12:18 UTC
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