PROVENZANO GERALYN G
Medical
Louisiana OTT.Z10339 Active
This Louisiana license is held by PROVENZANO GERALYN G. The license expired on 02/28/2015.
LICENSE DETAILS
- License Number: OTT.Z10339
- Category: Medical
- Status: Active
- Expiry Date: 02/28/2015 (about 10 years ago)
LOCATIONS
A Address
706 W 28TH AVENUE, COVINGTON, LA 70458
Are you PROVENZANO GERALYN G? Show the world that you're licensed by displaying your personal badge.
Get Badge