License holder summary

JOSEPH A PROVENZANO is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JOSEPH A PROVENZANO is ANNANDALE VA 22003. This licensed professional license is not current. The license was granted 10/22/1953 and expired on 12/31/1974.

Pennsylvania

Department of State

JOSEPH A PROVENZANO
Medical Physician And Surgeon
License number
MD004107E
Date granted
10/22/1953
Date expires
12/31/1974
Class
Medical Physician And Surgeon
Status
Expired
Address
ANNANDALE VA 22003
palicensing.org
ID 16626476
LAST UPDATED 2024-03-21 06:05:47 UTC

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