Donald Steven Provenzano

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

016003070

Status

Inactive

First issued

June 27, 1979

Expired

January 31, 1985

License holder

Donald Steven Provenzano

Entity type

Individual

Classifications

• Licensed Podiatric Physician (Podiatry) Other Health Care

More from the license record

Current term began

06/27/1979

Other Illinois licenses under this name

• IL
  Donald Steven Provenzano

  License 049056635

  Pharmacy Technician
  Expired

  Bloomingdale, IL

  Expired Jan 1, 1997
• IL
  Donald Steven Provenzano

  License 31*****14

  Licensed Podiatry Controlled Substance
  Expired

  Bloomingdale, IL

  Expired Sep 1, 1982

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