Theresa Francine Province
ExpiredIllinois license 085001354
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085001354
- Status
- Expired (Not Renewed)
- First issued
- February 10, 2000
- Expired
- March 1, 2002
- License holder
- Theresa Francine Province
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 02/10/2000
Contact
Biloxi, MS 39532
Mississippi County