CHARLES THOMAS PROVOST
Medical Physician And Surgeon
Pennsylvania MD013041L Inactive
This Pennsylvania license was held by CHARLES THOMAS PROVOST. The license is no longer active. It was granted on 08/23/1929 and expired on 12/31/1976
LICENSE DETAILS
- License Number: MD013041L
- Category: Medical Physician and Surgeon
- Status: Inactive
- Date Granted: 08/23/1929 (almost 95 years ago)
- Expiry Date: 12/31/1976 (over 47 years ago)
LOCATIONS
A Address
PITTSBURGH PA 15234