Randall James Provick Dc
ExpiredIllinois license 038007465
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 038007465
- Status
- Expired (Not Renewed)
- First issued
- April 18, 1994
- Expired
- July 31, 2008
- License holder
- Randall James Provick Dc
- Entity type
- Individual
Classifications
- Licensed Chiropractic Physician (Medical Board) Therapy & Rehabilitation
More from the license record
- Current term began
- 08/01/2005
Contact
Salida, CO 81201