License holder summary

Richard John Provenzano is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Richard John Provenzano is Advanced Eye Care, 322 Dewey Street, Bennington 05201. This licensed professional license is current. The license was granted 06/06/1980 and expired on 04/29/2017.

Massachusetts

Division of Professional Licensure

Richard John Provenzano
Board Of Registration In Medicine
License number
45884
Date granted
06/06/1980
Date expires
04/29/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Advanced Eye Care, 322 Dewey Street
licensingma.org
ID 41468503
LAST UPDATED 2026-04-17 15:47:36 UTC

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