License holder summary

JOSEPH PROVENZANO is a Optometry - Additional Practice Location licensed to practice in Pennsylvania. The address on file for JOSEPH PROVENZANO is GLENSIDE PA 19038.

Pennsylvania

Department of State

JOSEPH PROVENZANO
Optometry - Additional Practice Location
License number
OB004000L
Date expires
11/30/2002
Class
Optometry - Additional Practice Location
Status
Expired
Address
GLENSIDE PA 19038
palicensing.org
ID 16945816
LAST UPDATED 2024-04-25 13:20:07 UTC

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