Donald J Provenzale Jr Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019021170

Status

Active

First issued

July 27, 1988

Expires

September 30, 2027

License holder

Donald J Provenzale Jr Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

07/26/2024

Other Illinois licenses under this name

• IL
  Donald J Provenzale Jr Dds

  License 137000289

  Dental Sedation Permit
  Active

  Downers Grove, IL

  Expires Sep 30, 2027
• IL
  Donald J Provenzale Jr Dds

  License 31*****92

  Licensed Dentist Controlled Substance (Dental)
  Active

  Downers Grove, IL

  Expires Sep 30, 2027
• IL
  Donald J Provenzale Jr Dds

  License 31*****93

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Downers Grove, IL

  Expired Sep 30, 1994

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