ELISA ANN PROVENZANO
Occupational Therapist
Pennsylvania OC003222L Inactive
This Pennsylvania license was held by ELISA ANN PROVENZANO. The license is no longer active. It was granted on 09/15/1992 and expired on 06/30/1999
LICENSE DETAILS
- License Number: OC003222L
- Category: Occupational Therapist
- Status: Inactive
- Date Granted: 09/15/1992 (almost 34 years ago)
- Expiry Date: 06/30/1999 (about 27 years ago)
LOCATIONS
A Address
CHERRY HILL NJ 08002