Lena Renee Provoost
ExpiredCalifornia license 20573
License
- Licensed by
- California Veterinary Medical Board
- License number
- 20573
- Status
- Expired
- First issued
- July 29, 2014
- Expired
- June 30, 2024
- License holder
- Lena Renee Provoost
- Entity type
- Individual
Classifications
- vmb/Veterinarian Veterinarian Veterinary
More from the license record
- License type code
- 4601
Contact
2510 Chestnut Ave
Ardmore, PA 19003-3016
Ardmore, PA 19003-3016
Montgomery County