MARGARET JOVE PROVENZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072887

License Status

ACTIVE

Business

First Name

MARGARET JOVE

Last Name

PROVENZA

Suffix

Business Name

MARGARET JOVE PROVENZA MD

Original Issue Date

06/12/1986

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/26/2023