Deborah S.I. Provisor
Physician
Indiana 01024413A Retired
This Indiana license was held by Deborah S.I. Provisor. The license is no longer active. It was granted on 08/01/1972 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01024413A
- Category: Physician
- Status: Retired
- Date Granted: 08/01/1972 (over 51 years ago)
- Expiry Date: 06/30/2011 (almost 13 years ago)
LOCATIONS
A Address
Carmel IN 46032