Department of State
Board of Medicine
DAVID ANTHONY PROVENZANO
Graduate Medical Trainee
License number
MT045814T
Date granted
06/20/2000
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
NO CITY PA 00000
medicinepa.com
ID 37558618
LAST UPDATED 2024-04-29 06:00:26 UTC
LAST UPDATED 2024-04-29 06:00:26 UTC
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