Massachusetts
Division of Professional Licensure
MICHAEL L. PROVENZANO
Allied Health Professions
License number
18057
Date granted
08/28/2007
Date expires
07/11/2015
Class
Allied Health Professions
Status
Current
licensingma.org
ID 1458297
LAST UPDATED 2024-04-27 10:03:58 UTC
LAST UPDATED 2024-04-27 10:03:58 UTC
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