Department of State
Board of Medicine
CHARLES THOMAS PROVOST
Medical Physician And Surgeon
License number
MD013041L
Date granted
08/23/1929
Date expires
12/31/1976
Class
Medical Physician And Surgeon
Status
Inactive
Address
PITTSBURGH PA 15234
medicinepa.com
ID 37655693
LAST UPDATED 2024-03-11 15:02:59 UTC
LAST UPDATED 2024-03-11 15:02:59 UTC
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