ROBERT FORTUNAT PROVENCHER JR, DDS
Dental - Dentist Unrestricted Moderate Sedation
New Hampshire 01141 Lapsed
This New Hampshire license was held by ROBERT FORTUNAT PROVENCHER JR, DDS. The license is no longer active. It was granted on 05/01/2009 and expired on 04/30/2014
LICENSE DETAILS
- License Number: 01141
- Category: Dentist - Unrestricted Moderate Sedation
- Status: Lapsed
- Date Granted: 05/01/2009 (about 16 years ago)
- Expiry Date: 04/30/2014 (about 11 years ago)