Pennsylvania
Department of State
ELISA ANN PROVENZANO
Occupational Therapist
License number
OC003222L
Date granted
09/15/1992
Date expires
06/30/1999
Class
Occupational Therapist
Status
Inactive
Address
CHERRY HILL NJ 08002
palicensing.org
ID 16923536
LAST UPDATED 2024-04-24 18:49:27 UTC
LAST UPDATED 2024-04-24 18:49:27 UTC
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