DONALD STEVEN PROVENZANO - Podiatrist License in Alabama | # 016003070

DONALD STEVEN PROVENZANO

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003070

License Status

INACTIVE

Business

N

First Name

DONALD STEVEN

Last Name

PROVENZANO

Business Name

DONALD STEVEN PROVENZANO

Original Issue Date

06/27/1979

Effective Date

06/27/1979

Expiration Date

01/31/1985

State

AL

Ever Disciplined

N

LastModifiedDate

09/25/2006