TAMMY PROVENCAL
Allied Health Professions
Massachusetts 16821 Current
This Massachusetts license is held by TAMMY PROVENCAL. The license is currently active. It was granted on 04/06/2004 and expired on 05/02/2015
LICENSE DETAILS
- License Number: 16821
- Category: Allied Health Professions
- Status: Current
- Date Granted: 04/06/2004 (about 21 years ago)
- Expiry Date: 05/02/2015 (about 10 years ago)
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