License holder summary

ELISA ANN PROVENZANO is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for ELISA ANN PROVENZANO is CHERRY HILL NJ 08002. This licensed professional license is not current. The license was granted 09/15/1992 and expired on 06/30/1999.

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 2024-04-04 05:38:45 UTC

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