Robert Provenzano Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036167442

Status

Active

First issued

October 24, 2023

Expired

August 31, 2026

License holder

Robert Provenzano

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

10/24/2023

Contact