License holder summary

FLORENCIO PROVENCIO is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for FLORENCIO PROVENCIO is LEBANON PA 17042. This medical practitioner license is not current. The license was granted 04/22/1974 and expired on 12/31/1998.

Department of State

Board of Medicine

FLORENCIO PROVENCIO
Medical Physician And Surgeon
License number
MD015125E
Date granted
04/22/1974
Date expires
12/31/1998
Class
Medical Physician And Surgeon
Status
Inactive
Address
LEBANON PA 17042
medicinepa.com
ID 37655798
LAST UPDATED 2026-06-02 23:43:49 UTC

This website is unaffiliated with the Board of Medicine. Please verify all information directly with the relevant official government authority.

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