Dawn M Provenzano
ActiveIllinois license 020010305
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010305
- Status
- Active
- First issued
- June 13, 2002
- Expires
- September 30, 2027
- License holder
- Dawn M Provenzano
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 05/01/2024
Other Illinois licenses under this name
-
IL
ExpiredIngleside, ILExpired Sep 30, 2019
Contact
Roscoe, IL 61073
Winnebago County