Wayne F Provines
ExpiredIllinois license 046006017
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046006017
- Status
- Expired (Not Renewed)
- First issued
- August 25, 1961
- Expired
- January 1, 1997
- License holder
- Wayne F Provines
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Jacksonville, AZ 72076
Arizona County