Jeffrey Louis Provizer
Medical - Physician
Colorado 39873 Expired
This Colorado license was held by Jeffrey Louis Provizer. The license is no longer active. It was granted on 08/14/2001 and expired on 05/31/2003
LICENSE DETAILS
- License Number: 39873
- Category: Physician
- Status: Expired
- Date Granted: 08/14/2001 (over 23 years ago)
- Expiry Date: 05/31/2003 (almost 22 years ago)
LOCATIONS
A Address
5232 WHISPERING OAK LANE, WEST BLOOMFIELD, MI, 48322-8322