License holder summary

SUZANNE M PROVOST is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for SUZANNE M PROVOST is PHILADELPHIA PA 19103. This licensed professional license is not current. The license was granted 03/04/1999 and expired on 06/30/2001.

Pennsylvania

Department of State

SUZANNE M PROVOST
Occupational Therapist
License number
OC006371L
Date granted
03/04/1999
Date expires
06/30/2001
Class
Occupational Therapist
Status
Expired
Address
PHILADELPHIA PA 19103
palicensing.org
ID 16926380
LAST UPDATED 2024-03-07 07:13:20 UTC

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