Anthony A Provenzano

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049088748

Status

Expired (Not Renewed)

First issued

January 19, 1989

Expired

March 31, 1993

License holder

Anthony A Provenzano

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

01/19/1989

Other Illinois licenses under this name

• IL
  Anthony A Provenzano

  License 051038900

  Registered Pharmacist (Pharmacy)
  Active

  Boise, ID

  Expires Mar 31, 2028

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