DENISE PROVOST
Medical - Physician Who Holds A Locum Tenens Permit
Alaska 1170 Licensed
This Alaska license is held by DENISE PROVOST. The license is currently active. It was granted on 08/30/1999 and expired on 10/30/1999
LICENSE DETAILS
- License Number: 1170
- Category: Physician WHO HOLDS A LOCUM TENENS PERMIT
- Status: Licensed
- Date Granted: 08/30/1999 (almost 26 years ago)
- Expiry Date: 10/30/1999 (over 25 years ago)
LOCATIONS
A Address
1312 BRYAN AVE SALT LAKE CITY UT 84150
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