JAMES E PROVO MD - Medical Doctor License in Florida | # 036085207

JAMES E PROVO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085207

License Status

NOT RENEWED

Business

N

First Name

JAMES E

Last Name

PROVO

Suffix

MD

Business Name

JAMES E PROVO MD

Original Issue Date

08/24/1992

Effective Date

08/24/1992

Expiration Date

07/31/2002

State

FL

Ever Disciplined

N

LastModifiedDate

10/09/2006