MARGARET JOVE PROVENZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016788

License Status

EXPIRED

Business

First Name

MARGARET JOVE

Last Name

PROVENZA

Suffix

Business Name

MARGARET JOVE PROVENZA MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006