JENNIFER PROVATARIS
Physician/Surgeon
Connecticut 43068 Active
This Connecticut license is held by JENNIFER PROVATARIS. The license is currently active. It was granted on 02/01/2005 and expired on 07/31/2015
LICENSE DETAILS
- License Number: 43068
- Category: Physician/Surgeon - MD/DO
- Status: Active
- Date Granted: 02/01/2005 (over 20 years ago)
- Expiry Date: 07/31/2015 (almost 10 years ago)
LOCATIONS
A Address
3 BRUNDAGE ST, ARMONK, NY, 10504
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