License holder summary

JOHN M PROVOST is a Medicine - Pedorthist licensed to practice in Pennsylvania. This licensed professional license is current. The license was granted 07/28/2014 and expired on 12/31/2016.

Pennsylvania

Department of State

JOHN M PROVOST
Medicine - Pedorthist
License number
PD000057
Date granted
07/28/2014
Date expires
12/31/2016
Class
Medicine - Pedorthist
Status
Active
palicensing.org
ID 30071303
LAST UPDATED 2024-03-23 19:44:24 UTC

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