Department of State
Board of Medicine
GEORGE LOUIS PROVOST
Medical Physician And Surgeon
License number
MD020842E
Date granted
07/01/1978
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
ALLENTOWN PA 18104
medicinepa.com
ID 37656224
LAST UPDATED 2024-04-14 16:16:57 UTC
LAST UPDATED 2024-04-14 16:16:57 UTC
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