Department of Licensing and Regulatory Affairs
Board of Medicine
DENISE PATRICIA PROVENCHER
Physicians Assistants - Physician Assistant
License number
5601003979
Date granted
11/13/2002
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39310452
LAST UPDATED 2024-04-23 06:08:51 UTC
LAST UPDATED 2024-04-23 06:08:51 UTC
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