License holder summary

DAVID ANTHONY PROVENZANO is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for DAVID ANTHONY PROVENZANO is NO CITY PA 00000. This medical practitioner license is not current. The license was granted 06/20/2000 and expired on 06/30/2005.

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

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