Lisa Marie Provenza Dc
InactiveIllinois license 038009194
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 038009194
- Status
- Inactive
- First issued
- September 28, 2000
- Expired
- July 31, 2002
- License holder
- Lisa Marie Provenza Dc
- Entity type
- Individual
Classifications
- Licensed Chiropractic Physician (Medical Board) Therapy & Rehabilitation
More from the license record
- Current term began
- 09/28/2000
Contact
Canfield, OH 44406
Ohio County