License Directory

Noelle Provenzano Do

Active

Illinois license 036179739

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036179739
Status
Active
First issued
April 15, 2026
Expires
July 31, 2029
License holder
Noelle Provenzano
Entity type
Individual

Classifications

More from the license record

Current term began
04/15/2026

Contact

Los Angeles, CA 90077